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[Value and reason for routine rectosigmoidoscopy (author's transl)].
Deutsche Medizinische Wochenschrift (1946)
|April 28, 1978
Summary
Routine rectosigmoidoscopy screening in 700 patients undergoing surgery revealed significant pathological changes in 5.6%. Early detection of polyps and carcinoma through this method is valuable for patient outcomes.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Oncology
Context:
- Rectosigmoidoscopy is a common endoscopic procedure.
- Patients undergoing surgery for unrelated conditions represent a unique population for screening.
- The prevalence of colorectal pathology in this cohort was previously uncharacterized.
Purpose:
- To evaluate the utility of routine rectosigmoidoscopy in detecting colorectal pathology in patients undergoing surgery for other conditions.
Summary:
- 700 patients had routine rectosigmoidoscopy during surgical treatment for other diseases.
- Pathological findings included adenomatous polyps (24), adenopapillary polyps (5), "carcinomatous" polyps (7), and carcinoma (3).
- Polyps were managed endoscopically or surgically; carcinoma required resection.
Impact:
- Routine rectosigmoidoscopy identified significant colorectal pathology in 5.6% of patients.
- This screening approach can lead to early diagnosis and treatment of potentially malignant lesions.
- The findings support the value of integrating rectosigmoidoscopy into the care of surgical patients.