Sigmoidoscopy in general practice.
The author performed 961 consecutive rigid sigmoidoscopic examinations in his private practice from 1977 to 1986. All procedures were evaluated according to indication (541 routine "case finding" vs. 420 diagnostic examinations), risk status for colorectal cancer, presence of occult blood, relation to other modes of polyp detection (barium enema or colonoscopy), and pathology. During the 541 routine examinations, 70 (12.9%) procedures revealed 89 polypoid lesions. About half of these lesions were neoplastic, and the remainder were hyperplastic. Two carcinomas in situ were discovered during routine examination. During the 420 diagnostic procedures, 35 neoplastic polyps were discovered, including two invasive carcinomas and one carcinoma in situ within reach of the sigmoidoscope. Other colorectal disorders, such as ulcerative proctitis, were readily diagnosed.
S R
SR
Glaser
Gastroenterology. 1977 Apr;72(4 Pt 1):644-9
838219
J Fam Pract. 1987 Dec;25(6):601-4
3681223
CA Cancer J Clin. 1978 Jul-Aug;28(4):202-10
100177
Am J Prev Med. 1985 Sep-Oct;1(5):18-24
3939711
J Fam Pract. 1987 Dec;25(6):604-7
3681224
Endoscopy. 1981 Sep;13(5):203-6
7274170
CA Cancer J Clin. 1984 May-Jun;34(3):158-66
6426712
J Fam Pract. 1982 Oct;15(4):785-9
7119698
JAMA. 1975 Feb 17;231(7):750-1
1172872
Cancer. 1977 Nov;40(5 Suppl):2609-15
336189
Cancer. 1974 Sep;34(3):suppl:936-9
4853883
Cancer. 1983 Jun 15;51(12 Suppl):2519-24
6850529
Can Med Assoc J. 1974 Mar 16;110(6):683-5
4817215
Cancer. 1971 Jul;28(1):121-2
5110616
Am Fam Physician. 1984 May;29(5):131-8
6731232
Gastrointest Endosc. 1978 Nov;24(6):291-2
730005
Am J Prev Med. 1985 Jul-Aug;1(4):25-32
3870908