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Sigmoidoscopic examinations with rigid and flexible fiberoptic sigmoidoscopes in the surgeon's office: A comparative prospective study of effectiveness in 1,012 cases

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Diseases of the Colon & Rectum

Summary

The results obtained from 1,012 examinations in an on-going, cooperative study indicate that the overall yield provided by use of the flexible fiberoptic sigmoidoscope is 3.2 times greater than that of examinations with the rigid sigmoidoscope. More than twice (2.4 times) the number of polyps and more than three times the number of cancers were detected with the flexible fiberoptic sigmoidoscope. Experienced endoscopists can perform an examinaton with the flexible fiberoptic sigmoidoscope expeditiously in the office with minimal patient preparation, a high level of patient and physician acceptance, and relative safety when the usual mandatory colonoscopic precautions and guidelines are obeyed. The extraordinary advantages demonstrated by this study warrant wide clinical application of the flexible fiberoptic sigmoidoscope. We strongly recommend provision be made for appropriate training of physicians in the use of the instrument.

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References

  1. Bohlman TW, Katon RM, Lipshutz GR, et al: Fiberoptic pansigmoidoscopy: An evaluation and comparison with rigid sigmoidoscopy. Gastroenterology 72: 644, 1977

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Authors and Affiliations

  1. Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania

    Gerald Marks M.D. (Professor of Surgery)

  2. Louisiana State School of Medicine, Shreveport, Loujsiana

    H. Whitney Boggs M.D. (Associate Professor of Clinical Surgery)

  3. Georgetown University School of Medicine, Washington, D.C.

    A. F. Castro M.D. (Assistant Professor of Surgery)

  4. Tulane University School of Medicine, New Orleans, Louisiana

    J. B. Gathright M.D. (Associate Professor of Surgery)

  5. Tulane University School of Medicine, New Orleans, Louisiana

    John E. Ray M.D. (Clinical Associate Professor of Surgery)

  6. (CMDNJ) Rutgers University, New Brunswick, New Jersey

    Eugene Salvati M.D. (Clinical Assistant Professor of Surgery)

Authors
  1. Gerald Marks M.D.
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  2. H. Whitney Boggs M.D.
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  3. A. F. Castro M.D.
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  4. J. B. Gathright M.D.
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  5. John E. Ray M.D.
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  6. Eugene Salvati M.D.
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, San Diego, California, June 11 to 15, 1978.

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Marks, G., Whitney Boggs, H., Castro, A.F. et al. Sigmoidoscopic examinations with rigid and flexible fiberoptic sigmoidoscopes in the surgeon's office: A comparative prospective study of effectiveness in 1,012 cases. Dis Colon Rectum 22, 162–168 (1979). https://doi.org/10.1007/BF02586809

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  • DOI: https://doi.org/10.1007/BF02586809

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