Flexible Sigmoidoscopy

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What is Flexible Sigmoidoscopy?

Flexible sigmoidoscopy lets your doctor examine the lining of the rectum and a portion of the colon (large intestine) by inserting a flexible tube about the thickness of your finger into the anus and slowly advancing it into the rectum and lower part of the colon. If your doctor has recommended a flexible sigmoidoscopy, this brochure will give you a basic understanding of the procedure - how it is performed, how it can help, and what side effects you might experience. It can't answer all of your questions, since a lot depends of the individual patient and the doctor. Please ask your doctor about anything you don't understand.

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Gastroenterology - West

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Areas of Focus:
Colon Cancer Screening and Prevention, Diseases of the Liver and Biliary Tract, Endoscopic Retrograde Cholangiopancreatography (ERCP), Inflammatory Bowel Disease (IBD), Video Capsule Endoscopy
Areas of Focus:
Colon Cancer Screening and Prevention, Colorectal Cancer, Gastroenterology, Hepatology, Pancreatic Cancer
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Hepatology
Areas of Focus:
General Gastroenterology, Colon Cancer Screening and Prevention, Video Capsule Endoscopy, Deep Small Intestinal Endoscopy, Small Bowel Diseases
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Colon Cancer Screening and Prevention, Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), Acid Reflux and Dyspepsia, Small Intestine Imaging
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Colon Cancer Screening and Prevention, Gastroesophageal Reflux Disease (GERD), Inflammatory Bowel Disease (IBD), Liver Disease, Swallowing Dysfunction
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Barrett's Ablation, Capsule Endoscopy, Colon Health, Gastroenterology, Hepatology
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Colon Cancer Screening and Prevention, Advanced Inflammatory Bowel Disease (IBD), Diseases of the Liver and Biliary Tract, Small Bowel Diseases, General Gastroenterology
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Colon Cancer Screening and Prevention, Disease of the Liver and Biliary Tract, Hepatology, Gastroesophageal Reflux Disease (GERD), Inflammatory Bowel Disease (IBD)
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General Gastroenterology, Colon Cancer Screening and Prevention, Inflammatory Bowel Disease (IBD), Acid Reflux, Diseases of the Esophagus, Stomach, Small Intestine and Colon
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General Gastroenterology, Endoscopic Retrograde Cholangiopancreatography (ERCP), Advanced Inflammatory Bowel Disease (IBD), Liver Disease, Colon Cancer Screening and Prevention
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Swallowing Dysfunction, Intestinal Bleeding, Capsule Endoscopy, Inflammatory Bowel Disease (IBD), Liver Disease
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Gastroesophageal Reflux Disease (GERD), Colon Cancer Screening and Prevention, Barrett's Ablation, Inflammatory Bowel Disease (IBD), Capsule Endoscopy
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General Gastroenterology, Crohn's Disease, Ulcerative Colitis, Inflammatory Bowel Disease (IBD), Swallowing Dysfunction
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Diseases of the Liver and Biliary Tract, Cirrhosis, Viral Hepatitis, Endoscopic Retrograde Cholangiopancreatography (ERCP)
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Advanced Inflammatory Bowel Disease (IBD), Colorectal Cancer, Hepatology and Liver Disease, Celiac Disease, Research
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Hepatology, Liver Disease, Cirrhosis, Hepatitis
Areas of Focus:
Colon Cancer Screening and Prevention, Gastroesophageal Reflux Disease (GERD), Inflammatory Bowel Disease (IBD), Disease of the Liver and Biliary Tract, Deep Small Intestinal Endoscopy
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Inflammatory bowel disease (Crohn's disease and Ulcerative Colitis), Colon Cancer Screening and Prevention, Acid Reflux, Swallowing Dysfunction, General Gastroenterology
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Inflammatory bowel disease (Crohn's disease and Ulcerative Colitis), Colon Cancer Screening and Prevention, Acid Reflux, Swallowing Dysfunction, General Gastroenterology
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Capsule Endoscopy, Colon Cancer Screening and Prevention, General Gastroenterology, Inflammatory Bowel Disease (IBD), Pelvic Floor Disorders
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Colon Cancer Screening and Prevention, Inflammatory Bowel Disease (IBD), Small Bowel Diseases, Capsule Endoscopy, Balloon Small Bowel Enteroscopy
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Celiac Disease, Colon Cancer Screening and Prevention, Gastroesophageal Reflux Disease (GERD), Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS)
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Barrett's Esophagus and Esophageal Cancer, Colon Cancer Screening and Prevention, Endoscopic Retrograde Cholangiopancreatography (ERCP), Endoscopic Ultrasound (EUS), Gallbladder and Pancreatic Diseases
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Celiac Disease, Colon Cancer Screening and Prevention, Gastroesophageal Reflux Disease (GERD), Gastrointestinal Motility Disorders, Inflammatory Bowel Disease (IBD)
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Inflammatory Bowel Disease (IBD), Colonoscopy, Colon Cancer Screening and Prevention
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Advanced Therapeutic Endoscopy, Barrett's Esophagus Treatment, Colon Cancer Screening and Prevention, Gastrointestinal Cancer, Pancreatic and Biliary Diseases
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Colon Cancer Screening and Prevention, Gastroenterology, Hepatology, Inflammatory Bowel Disease (IBD), Women's Health
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Endoscopic Ultrasound (EUS), Endoscopic Retrograde Cholangiopancreatography (ERCP), Pancreatobiliary Disease, Nutrition
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Inflammatory Bowel Disease (IBD), Crohn's Disease, Ulcerative Colitis, Nutrition, Pelvic Floor Disorders
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Pancreatobiliary Disease, Endoscopic Ultrasound (EUS), Endoscopic Retrograde Cholangiopancreatography (ERCP), Inflammatory Bowel Disease (IBD), General Gastroenterology
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Pancreas and Biliary Disease, Gastroesophageal Reflux Disease (GERD), Colon Cancer Screening and Prevention, General Gastroenterology, Endoscopic Ultrasound (EUS)
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General Gastroenterology, Irritable Bowel Syndrome (IBS), Endoscopic Ultrasound (EUS), Barrett's Ablation, Endoscopic Mucosal Resection
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General Gastroenterology, Inflammatory Bowel Disease (IBD), Colon Cancer Screening and Prevention, Diseases of the Liver and Biliary Tract, Irritable Bowel Syndrome (IBS)
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Colon Cancer Screening and Prevention, Gastroesophageal Reflux Disease (GERD), Inflammatory Bowel Disease (IBD), Esophageal Manometry, Diseases of the Liver and Biliary Tract
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Colon Cancer Screening and Prevention, Inflammatory Bowel Disease (IBD), Viral Hepatitis, Esophageal Manometry, Colonoscopy
Areas of Focus:
Colon Cancer Screening and Prevention, Endoscopic Retrograde Cholangiopancreatography (ERCP), Endoscopic Ultrasound (EUS), General Gastroenterology, Pancreatobiliary Disease
Areas of Focus:
Colon Cancer Screening and Prevention, Inflammatory Bowel Disease (IBD), Endoscopic Retrograde Cholangiopancreatography (ERCP), Colonoscopy, Celiac Disease
Areas of Focus:
Colon Cancer Screening and Prevention, Gastroenterology Education, Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), Video Capsule Endoscopy for Small Bowel Evaluation
Areas of Focus:
Endoscopic Retrograde Cholangiopancreatography (ERCP), Endoscopic Ultrasound (EUS), Pancreatobiliary Disease, Barrett's Esophagus Treatment, General Gastroenterology
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Acute and Chronic Liver Disease, Colon Cancer Screening and Prevention, Inflammatory Bowel Disease (IBD), Internal Hemorrhoid Ligation
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Barrett's Esophagus Treatment, Capsule Endoscopy, Colon Cancer Screening and Prevention, Esophagoscopy with Ablation (BARRx), Hepatitis
Areas of Focus:
Gastroenterology
Areas of Focus:
Inflammatory Bowel Disease (IBD), Celiac Disease, Colon Cancer Screening and Prevention, Esophageal Disorders, Esophageal Manometry
Areas of Focus:
Colorectal Cancer, Acid Reflux, Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), Intestinal Bleeding
Areas of Focus:
Colon Cancer Screening and Prevention, General Gastroenterology, Inflammatory Bowel Disease (IBD), Irritable Bowel Syndrome (IBS), Celiac Disease

What to Expect

What Preparation is Required?

Your doctor will tell you what cleansing routine to use. In general, preparation consists of one or two enemas prior to the procedure but could include laxatives or dietary modifications as well. However, in some circumstances your doctor might advise you to forgo any special preparation. Because the rectum and lower colon must be completely empty for the procedure to be accurate, it's important to follow your doctor's instructions carefully.

Should I Continue My Current Medications?

Most medications can be continued as usual. Inform your doctor about medications that you're taking - particularly aspirin products or anticoagulants (blood thinners) -- as well as any allergies you have to medications. Also, tell your doctor if you require antibiotics prior to dental procedures, because you might need antibiotics prior to sigmoidoscopy as well.

What To Expect During Flexible Sigmoidoscopy

Flexible sigmoidoscopy is usually well-tolerated. You might experience a feeling of pressure, bloating or cramping during the procedure. You will lie on your side while your doctor advances the sigmoidoscope through the rectum and colon. As your doctor withdraws the instrument, your doctor will carefully examine the lining of the intestine.

What If The Flexible Sigmoidoscopy Finds Something Abnormal?

If your doctor sees an area that needs further evaluation, your doctor might take a biopsy (sample of the colon lining) to be analyzed. Biopsies are used to identify many conditions, and your doctor might order one even if he or she doesn't suspect cancer.

If your doctor finds polyps, he or she might take a biopsy of them as well. Polyps, which are growths from the lining of the colon, vary in size and types. Polyps known as ‘hyperplastic’ might not require removal, but benign polyps known as ‘adenomas’ are potentially precancerous. Your doctor might ask you to have a colonoscopy (a complete examination of the colon) to remove any large polyps or any small adenomas.

What Happens After a Flexible Sigmoidoscopy?

Your doctor will explain the results to you when the procedure is done. You might feel bloating or some mild cramping because of the air that was passed into the colon during the examination. This will disappear quickly when you pass gas. You should be able to eat and resume your normal activities after leaving your doctor's office or the hospital, assuming you did not receive any sedative medication.

FAQ

Flexible sigmoidoscopy and biopsy are safe when performed by doctors who are specially trained and experienced in these endoscopic procedures. Complications are rare, but it's important for you to recognize early signs of possible complications. Contact your doctor if you notice severe abdominal pain, fevers and chills, or rectal bleeding of more than one-half cup. Note that rectal bleeding can occur several days after the biopsy.

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