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Sigmoidoscopy: A Comprehensive Guide

Sigmoidoscopy: A Comprehensive Guide

What is Sigmoidoscopy ?

Sigmoidoscopy is a medical procedure used to examine the lower part of the large intestine (colon), specifically the sigmoid colon and rectum. It involves inserting a flexible tube with a camera into the rectum to visualize the area.

Why Sigmoidoscopy is required?

Sigmoidoscopy is often performed to:

  • Screen for colorectal cancer: While not as comprehensive as a colonoscopy, sigmoidoscopy can detect precancerous polyps or early-stage colorectal cancer in the lower colon.
  • Investigate symptoms: It can be used to diagnose symptoms like rectal bleeding, constipation, or diarrhea.
  • Monitor existing conditions: For individuals with inflammatory bowel diseases or other colon conditions, sigmoidoscopy can help monitor the progression of the disease.

which are the method of Sigmoidoscopy ?

·  Flexible sigmoidoscopy: The most common type, it uses a flexible tube inserted through the anus.

·  Rigid sigmoidoscopy: A shorter, rigid tube is used. This method is less common due to its discomfort.

 who should go for Sigmoidoscopy ?

The American Cancer Society recommends that:

  • Adults aged 50-75 should get a sigmoidoscopy every five years.
  • Adults over 75 should talk to their doctor about the risks and benefits of continued sigmoidoscopies.

Individuals with a family history of colorectal cancer or inflammatory bowel disease may need more frequent screenings.

 

What are the results of Sigmoidoscopy ? 

A sigmoidoscopy can reveal:

  • Polyps: Small growths in the colon that can be removed during the procedure.
  • Cancer: Early-stage colorectal cancer can be detected.
  • Inflammatory bowel diseases: Conditions like Crohn’s disease or ulcerative colitis can be diagnosed or monitored.
  • Other abnormalities: Ulcers, diverticulitis, or other conditions can also be identified.

What are the components of Sigmoidoscopy ?

A sigmoidoscopy typically involves:

  • Preparation: You will need to follow a bowel preparation regimen to cleanse your colon before the procedure.
  • Sedation: You may be given mild sedation to help you relax during the procedure.
  • Insertion of the sigmoidoscope: The sigmoidoscope is inserted through the anus into the colon.
  • Examination: The doctor will carefully examine the lower part of the colon.
  • Removal of polyps: If any polyps are found, they can be removed during the procedure.
  • Recovery: After the procedure, you will need to rest for a short time.

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