Open access fibresigmoidoscopy: a comparative audit of efficacy

Nurse-led direct access endoscopy clinics: the future?

“…Other studies have shown a similar high diagnostic yield in patients with rectal bleeding as a presenting symptom [11,13,27]. Kalra et al [11] found that the diagnostic yield in such patients exceeded 90%, but was only about 20% in patients who did not report any rectal bleeding. Our results for nurse-led OAFS were very favorable, with a cause identified for the bleeding identified in 91% of the cases and major pathology encountered in 24%.…”

“…Our initial investigation of colonoscopy [2], like other large studies [5,8,15], showed that most lesions are distal to the splenic flexure, well within the territory of the flexible scope. Again, like other studies [11,13,27], our investigation [2] showed that there is a high diagnostic yield when rectal bleeding is the presenting symptom. In light of this study [19], we instituted a nurse-led open access flexible sigmoidoscopy (OAFS) service for patients presenting with fresh rectal bleeding.…”

“…Vipond and Moshakis [29] identified abnormalities in 68% and major disease in 22% of the cases in a study of 756 patients attending for direct-access flexible sigmoidoscopy. Other studies have shown a similar high diagnostic yield in patients with rectal bleeding as a presenting symptom [11,13,27]. Kalra et al [11] found that the diagnostic yield in such patients exceeded 90%, but was only about 20% in patients who did not report any rectal bleeding.…”

“…A few centers in the United Kingdom have started a nurseendoscopist service, and early results from these centers are promising [6,17]. In view of the predominance achieved by left-side pathology, several centres have reported their experience with OAFS [11,13,27,28]. Vipond and Moshakis [29] identified abnormalities in 68% and major disease in 22% of the cases in a study of 756 patients attending for direct-access flexible sigmoidoscopy.…”

The Clinical and Endoscopic Characteristics, Treatment, and Long-Term Prognosis of Early Colorectal Cancer in Taiwan

“…Therefore, the ratio of early to total CRC cases was 4.2 percent, which was similar to that (4.3 percent) reported by Tung and Wu 3 but lower than that (18-22 percent) observed in Japan 7,8 and (20-30 percent) Western countries. [9][10][11] Although the study population was different, higher rate of detection can be attributed mainly to screening. It is desirable to increase the early CRC ratio as much as possible because early CRC has much better prognosis than advanced CRC.…”