Flexible fiberoptic sigmoidoscopy. Logistics and economics of office use

Early detection of colorectal cancer, followed by surgical excision, can effect a cure in 50% of patients. The flexible fiberoptic sigmoidoscope enables identification of lesions in the premalignant or early malignant stages. Its use is cost-effective in any practice that includes more than 200 to 300 patients over age 50, and the procedure is well accepted by patients. Available options for learning the technique are listed, along with their approximate fees. The author explores all considerations pertinent to instituting this screening procedure and suggests the best way to introduce sigmoidoscopy into the established office routine.