Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy

T. W. Bohlman, Ronald Katon, G. R. Lipshutz, M. F. McCool, F. W. Smith, C. S. Melnyk

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

A flexible 60 cm fiberoptic sigmoidoscope was evaluated in 139 patients. In 120 patients flexible sigmoidoscopy was compared with routine rigid sigmoidoscopy with respect to patient tolerance, distance of inspection, procedure time, and diagnostic yield. All patients were prepared with a single cleansing enema, and given no analgesia. Despite the fact that the flexible instrument was inserted nearly 3 times as far into the colon (55 cm versus 20 cm), more patients preferred the flexible examination. Significant pathological lesions were discovered by the flexible examination in 39% of patients, whereas rigid sigmoidoscopy discovered lesions in only 13%. Fluoroscopy performed during flexible sigmoidoscopy in 19 additional patients revealed that the instrument tip had reached the descending colon or beyond in 84% of patients. There were no complications. The flexible fiberoptic pansigmoidoscope offers promise as a practical diagnostic tool for a rapid and complete examination in patients with suspected colorectal diseases.

Original languageEnglish (US)
Pages (from-to)644-649
Number of pages6
JournalGastroenterology
Volume72
Issue number4 1
StatePublished - 1977

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Sigmoidoscopy
Sigmoidoscopes
Descending Colon
Enema
Fluoroscopy
Analgesia
Colon

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Bohlman, T. W., Katon, R., Lipshutz, G. R., McCool, M. F., Smith, F. W., & Melnyk, C. S. (1977). Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy. Gastroenterology, 72(4 1), 644-649.

Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy. / Bohlman, T. W.; Katon, Ronald; Lipshutz, G. R.; McCool, M. F.; Smith, F. W.; Melnyk, C. S.

In: Gastroenterology, Vol. 72, No. 4 1, 1977, p. 644-649.

Research output: Contribution to journalArticle

Bohlman, TW, Katon, R, Lipshutz, GR, McCool, MF, Smith, FW & Melnyk, CS 1977, 'Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy', Gastroenterology, vol. 72, no. 4 1, pp. 644-649.
Bohlman TW, Katon R, Lipshutz GR, McCool MF, Smith FW, Melnyk CS. Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy. Gastroenterology. 1977;72(4 1):644-649.
Bohlman, T. W. ; Katon, Ronald ; Lipshutz, G. R. ; McCool, M. F. ; Smith, F. W. ; Melnyk, C. S. / Fiberoptic pansigmoidoscopy. An evaluation and comparison with rigid sigmoidoscopy. In: Gastroenterology. 1977 ; Vol. 72, No. 4 1. pp. 644-649.
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