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- W2978057435 abstract "Purpose: Studies in the gastroenterology literature and anecdotal evidence suggest that use of a gastroscope may be more effective than a sigmoidoscope for colon cancer screening. In order to address this question further we conducted a pilot study to compare patient tolerability of flexible sigmoidoscopy performed using a standard sigmoidoscope versus a gastroscope. Methods: Thirty patients over age 50 referred for colon cancer screening by flexible sigmoidoscopy in primary care were included. At completion of the procedure, patient tolerability was assessed using a 100 mm visual analog scale (VAS), and a measure of the ease of the procedure was recorded by the performing family physician and supervising gastroenterologist. Results: Results were analyzed using a one-tailed t-test. Results of 30 patients, 15 in each group, show a mean VAS of 20.3 in the gastroscope group, and 30.4 in the sigmoidoscope group, with a p-value of 0.055. Subjective measure of ease of the procedure significantly favored the gastroscope (p = 0.02). Conclusions: We plan to perform a randomized controlled study with a total of 60 patients in order to expand on these results. However, these preliminary results tend to favor the gastroscope, both in patient tolerability and ease of procedure, for flexible sigmoidoscopies performed by a family physician in a primary care setting. If this technique is more widely utilized in primary care, patient compliance to receive colorectal cancer screening will improve and will further optimize colorectal cancer screening programs." @default.
- W2978057435 created "2019-10-10" @default.
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- W2978057435 date "2005-09-01" @default.
- W2978057435 modified "2023-09-25" @default.
- W2978057435 title "Screening Flexible Sigmoidoscopy Using a Gastroscope Versus a Sigmoidoscope in Primary Care" @default.
- W2978057435 doi "https://doi.org/10.14309/00000434-200509001-01071" @default.
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