Sigmoidoscopy (Flexible Sigmoidoscopy)
Advantages And Disadvantages Of A Sigmoidoscopy
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Advantages of a sigmoidoscopy:
- The test is usually quick, with few complications.
- Usually does not require sedation.
- Many primary care doctors can do the test in their office.
- Less extensive cleansing of the colon is necessary than for a colonoscopy.
- For most patients, discomfort is minimal.
- Can identify and remove polyps before they turn into cancer.
- In some cases, the doctor may be able to perform a biopsy (the removal of tissue for examination under a microscope by a pathologist) and, if necessary, remove polyps during the test.
- Moderate cost, covered by most health insurance.
- Can accurately find polyps in the lower part of the colon (where most polyps occur).
- If the results are normal, a more expensive colonoscopy will not be recommended.
Disadvantages of sigmoidoscopy:
- This test allows the doctor to view only the rectum and the lower part of the colon. Any polyps in the upper part of the colon will be missed.
- May require enema preparation.
- Patients may find the test uncomfortable and embarrassing.
- There is a small risk of bleeding or tearing of the lining of the colon.
- Additional procedures, such as a colonoscopy, may be necessary if the test indicates an abnormality.
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