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Related Experiment Videos

Inguinal herniation justifies sigmoidoscopy.

J Lovett1, D Kirgan, B McGregor

  • 1Department of Surgery, University of Nevada School of Medicine, Reno.

American Journal of Surgery
|December 1, 1989
PubMed
Summary
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Men over 40 with inguinal hernias often have undiagnosed colon polyps or cancer. Flexible sigmoidoscopy screening for these patients is recommended to detect colonic neoplasms early.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Oncology

Background:

  • The association between inguinal hernia and colonic carcinoma remains debated.
  • The necessity of sigmoidoscopy for patients with inguinal hernia is unclear.

Purpose of the Study:

  • To prospectively evaluate the role of endoscopic screening in patients with inguinal hernia.
  • To determine if inguinal hernia warrants sigmoidoscopy for colonic neoplasm detection.

Main Methods:

  • 464 male patients over 40 with inguinal hernia underwent flexible sigmoidoscopy over 54 months.
  • Data collected on polyps, carcinoma, and fecal occult blood.

Main Results:

  • 21% had polyps, 5% had carcinoma; 6% had multiple neoplasms.

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  • 38% had normal examinations; 8% had positive fecal occult blood tests.
  • Over 25% had asymptomatic colonic neoplasms, indicating a significant association.

    • Conclusions:

    • Inguinal hernia in men over 40 is a strong indicator for colonic neoplasm screening.
    • Flexible sigmoidoscopy is recommended for screening colonic neoplasms in patients with inguinal hernia.