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Investigation of colonic symptoms: the value of flexible sigmoidoscopy.

Fowlie, S; Jones, HW; Hignett, C; Rosenberg, W; Chapman, RW; (1993) Investigation of colonic symptoms: the value of flexible sigmoidoscopy. Br J Clin Pract , 47 (4) pp. 185-186.

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Abstract

Colonic symptoms and large-bowel disease are common in elderly people, but the optimum investigative schema is not well established. Double-contrast barium enema (DCBE) and full colonoscopy share several drawbacks; both require colonic preparation which at best causes stool frequency and urgency, at worse dehydration and hypovolaemia. Many physicians feel that in the elderly this represents such a risk that inpatient preparation is preferred. Both investigations may involve much discomfort and distress. Rigid sigmoidoscopy is the traditional first colonic examination in patients with colonic symptoms, but will detect fewer than 10% of significant colonic lesions. Further investigation is almost always needed in elderly patients.

Type: Article
Title: Investigation of colonic symptoms: the value of flexible sigmoidoscopy.
Location: ENGLAND
Keywords: Adolescent, Adult, Aged, Aged, 80 and over, Barium Sulfate, Child, Colonic Diseases, Enema, Female, Humans, Male, Middle Aged, Retrospective Studies, Sigmoidoscopy
UCL classification: UCL > School of Life and Medical Sciences
UCL > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > School of Life and Medical Sciences > Faculty of Medical Sciences > Medicine (Division of)
URI: http://discovery.ucl.ac.uk/id/eprint/1340629
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