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Related Experiment Videos

Flexible sigmoidoscopy: the patients' perception.

Yehuda Ringel1, Christine B Dalton, Lawrence J Brandt

  • 1UNC Center for Functional GI and Motility Disorders, Division of Digestive Diseases, 778 Burnett-Womack Bldg., CB 7080, University of North Carolina, Chapel Hill, NC 27599-7080, USA.

Gastrointestinal Endoscopy
|February 28, 2002
PubMed
Summary
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Patients report fewer concerns before flexible sigmoidoscopy, but rate it as more difficult afterward compared to colonoscopy or EGD. This challenges the perception of sigmoidoscopy as the best-tolerated endoscopic procedure.

Area of Science:

  • Gastroenterology
  • Patient Experience Research
  • Medical Procedure Outcomes

Background:

  • Patient anxiety and concern significantly impact attitudes and adherence to endoscopic procedures.
  • Understanding patient perceptions is crucial for improving procedural acceptance and compliance.
  • Flexible sigmoidoscopy is a common gastrointestinal endoscopic examination.

Purpose of the Study:

  • To evaluate patient perceptions of flexible sigmoidoscopy.
  • To compare patient concerns and perceived difficulty of flexible sigmoidoscopy with colonoscopy and esophagogastroduodenoscopy (EGD).

Main Methods:

  • A prospective study involving 764 patients undergoing GI endoscopy (175 flexible sigmoidoscopy, 384 colonoscopy, 205 EGD).
  • Patients rated anticipated difficulty and concerns pre-procedure and actual difficulty post-procedure.

Related Experiment Videos

  • Comparison of pre- and post-procedure ratings and between the three procedure types.

    • Main Results:

    • Patients undergoing flexible sigmoidoscopy reported fewer pre-procedure concerns than those having colonoscopy or EGD.
    • Post-procedure, flexible sigmoidoscopy was rated as more difficult than colonoscopy or EGD.
    • Patients undergoing colonoscopy and EGD reported less actual difficulty than anticipated, while sigmoidoscopy patients reported similar actual and anticipated difficulty.

    Conclusions:

    • Despite lower initial concerns, flexible sigmoidoscopy is perceived as more difficult post-procedure compared to colonoscopy and EGD.
    • Current perceptions of flexible sigmoidoscopy as the best-tolerated endoscopic procedure may need re-evaluation.
    • Interventions may be needed to align patient expectations with the actual experience of flexible sigmoidoscopy.