Sigmoidoscopy

MeetTheProfessors.com – 63yo w/prim. sigmoid, synch. liver mets, extensive pelvic disease; diverting colostomy; rcvd FOLFOX w/bev; CEA level dropped by 80% after 3 cycles; no tumor on sigmoidoscopy/laparotomy after 6 cycles; colostomy closed, began cape  

Objectives To review, summarise, and compare the evidence for effectiveness of screening sigmoidoscopy and screening colonoscopy in the prevention of colorectal cancer occurrence and deaths.  

Objectives To review, summarise, and compare the evidence for effectiveness of screening sigmoidoscopy and screening colonoscopy in the prevention of colorectal cancer occurrence and deaths.  

Objectives To review, summarise, and compare the evidence for effectiveness of screening sigmoidoscopy and screening colonoscopy in the prevention of colorectal cancer occurrence and deaths.  

In recent years evidence that the incidence of and mortality from colorectal cancer can be substantially reduced by screening has been accumulating. Strong evidence from randomised trials is available for both fecal occult blood testing1 2 3 and screening with flexible sigmoidoscopy.4 5 6 7 8 Observational epidemiological studies suggest an even larger benefit associated with screening colonoscopy.8 9 10 11 Screening for colorectal cancer is now widely recommended by expert committees and is being introduced in a rapidly increasing number of countries.  

Eligibility criteria Randomized controlled trials comparing screening flexible sigmoidoscopy with no screening. Trials with fewer than 100 flexible sigmoidoscopy screenings were excluded.  

In recent years evidence that the incidence of and mortality from colorectal cancer can be substantially reduced by screening has been accumulating. Strong evidence from randomised trials is available for both fecal occult blood testing1 2 3 and screening with flexible sigmoidoscopy.4 5 6 7 8 Observational epidemiological studies suggest an even larger benefit associated with screening colonoscopy.8 9 10 11 Screening for colorectal cancer is now widely recommended by expert committees and is being introduced in a rapidly increasing number of countries.  

Eligibility criteria Randomized controlled trials comparing screening flexible sigmoidoscopy with no screening. Trials with fewer than 100 flexible sigmoidoscopy screenings were excluded.  

More patients wait for bowel cancer test: The number of patients waiting for a colonoscopy rose by 23.3% from March 2014 to March 2015, from 28 578 to 35 245, figures from NHS England show, while the number waiting for flexi-sigmoidoscopy rose by 20.5%, from 15 354 to 18 496 patients. Over the same period the proportion of patients waiting more than six weeks for the tests rose from 2.3% to 5.7% for colonoscopy and from 1.8% to 6.8% for flexi-sigmoidoscopy.  

More patients wait for bowel cancer test: The number of patients waiting for a colonoscopy rose by 23.3% from March 2014 to March 2015, from 28 578 to 35 245, figures from NHS England show, while the number waiting for flexi-sigmoidoscopy rose by 20.5%, from 15 354 to 18 496 patients. Over the same period the proportion of patients waiting more than six weeks for the tests rose from 2.3% to 5.7% for colonoscopy and from 1.8% to 6.8% for flexi-sigmoidoscopy.  

Acute pain is pain of recent onset and limited duration. Acute pain is associated with surgery, physical trauma (e.g. broken bones, burns and cuts) and medical procedures (e.g. venepuncture and sigmoidoscopy). Transcutaneous Electrical Nerve Stimulation (TENS) is a treatment to relieve pain by administering mild electrical currents to the body using electrode pads attached to the surface of the skin.