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[Value and reason for routine rectosigmoidoscopy (author's transl)].

F Klinke, J Meier zu Eissen, P Meier zu Eissen

    Deutsche Medizinische Wochenschrift (1946)
    |April 28, 1978
    PubMed
    Summary
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    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.

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    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.