Flexible sigmoidoscopy

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Definition

By Mayo Clinic staff

A flexible sigmoidoscopy is an exam used to evaluate the lower part of the large intestine (colon).

During a flexible sigmoidoscopy exam, a thin, flexible tube (sigmoidoscope) is inserted into the rectum. A tiny video camera at the tip of the tube allows the doctor to view the inside of the rectum and most of the sigmoid colon — about the last 2 feet (.6 meters) of the large intestine. If necessary, tissue samples (biopsies) can be taken through the scope during a flexible sigmoidoscopy exam.

Flexible sigmoidoscopy doesn't allow the doctor to see the entire colon. As a result, any cancers or polyps farther into the colon can't be detected with flexible sigmoidoscopy.

References
  1. Corbett JV. Laboratory Tests and Diagnostic Procedures with Nursing Diagnoses. 7th ed. Upper Saddle River, N.J.: Pearson/Prentice Hall; 2008:743.
  2. Levin B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: A joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. Gastroenterology. 2008;134:1570.
  3. Fletcher RH. Screening strategies in patients at average risk for colorectal cancer. http://www.uptodate.com/home/index.html. Accessed March 17, 2009.
  4. Whitlock EP, et al. Screening for colorectal cancer: A targeted, updated systematic review for the U.S. Preventive Services Task Force. Annals of Internal Medicine. 2008;149:638.
  5. Frequently asked questions about colonoscopy and sigmoidoscopy. American Cancer Society. http://www.cancer.org/docroot/CRI/content/CRI_2_6x_Frequent_Questions_About_Colonoscopy_and_Sigmoidoscopy.asp. Accessed March 27, 2009.
  6. Charette A. Patient information: Flexible sigmoidoscopy. http://www.uptodate.com/home/index.html. Accessed March 17, 2009.
  7. Flexible sigmoidoscopy. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/sigmoidoscopy/index.htm. Accessed March 17, 2009.

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June 20, 2009

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