Short (35-cm) versus long (60-cm) flexible sigmoidoscopy: a comparison of findings and tolerance in asymptomatic patients screened for colorectal neoplasia
| Autor: | George Koval, Frederick W. Smith, Ronald M. Katon, Cindy M. van Dijk, Richard A. Dubow, Kent G. Benner |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Moderate to severe
Male Sigmoidoscopes medicine.medical_specialty Screening test Colon Flexible sigmoidoscope Asymptomatic Patient acceptance Polyps Carcinoma medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Aged medicine.diagnostic_test business.industry Rectal Neoplasms Gastroenterology Sigmoidoscopy Middle Aged medicine.disease Surgery Colonic Neoplasms Female medicine.symptom business Sigmoidoscope |
| Zdroj: | Gastrointestinal endoscopy. 31(5) |
| ISSN: | 0016-5107 |
| Popis: | The purpose of this study was to compare the utility of the 35-cm versus the 60-cm flexible sigmoidoscope in screening asymptomatic patients for colorectal neoplasia. Two hundred fifty-eight patients 45 years of age or older were examined in a randomized fashion with both the 35-cm and 60-cm instruments. Fifteen percent (39/258) of patients had a total of 50 polypoid lesions 3 mm or greater in diameter (including one carcinoma). Of all polypoid lesions, 76% were detected with the 35-cm instrument compared to 98% with the 60-cm sigmoidoscope. Eighty-four percent of all polyps occurred within the distal 35 cm of colon. The mean time required to complete the examination was significantly less with the 35-cm sigmoidoscope than with the 60-cm sigmoidoscope (2.5 vs. 5.7 min). Moderate to severe discomfort was experienced by 69% of patients with the 60-cm instrument compared to only 29% with the 35-cm sigmoidoscope. Seventy-two percent of patients preferred examination with the shorter instrument compared with 7% for the longer sigmoidoscope, while 21% of patients expressed no preference. The 35-cm flexible sigmoidoscope fulfills many criteria of an effective screening test for colorectal neoplasia including rapidity of examination, safety, good sensitivity, and excellent patient acceptance. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|