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The Overseas Post-graduate Medical... Jan 1951
Topics: Sigmoidoscopy
PubMed: 24539782
DOI: No ID Found -
Australian Family Physician Apr 1985
Topics: Humans; Sigmoidoscopy
PubMed: 4015535
DOI: No ID Found -
Journal of Clinical Nursing Jul 2010To describe the process and explore the feasibility of training a colorectal nurse in Hong Kong to perform flexible sigmoidoscopy. (Review)
Review
AIMS
To describe the process and explore the feasibility of training a colorectal nurse in Hong Kong to perform flexible sigmoidoscopy.
BACKGROUND
Given the shortage and high turnover rate of medical staff, a pilot programme was designed to train and expand the role of colorectal nurse clinicians. It was hoped that such nurses could share some of the clinical duties of the medical staff. An advanced practice nurse was selected for the programme. One of the training components was the performance of flexible sigmoidoscopy.
DESIGN
This was a descriptive, case review study.
METHOD
A one-year-structured endoscopic training programme was designed for the nurse clinician. Weekly sessions were conducted by one of the trainers. The training process included the following: (1) procedural observation; (2) supervised withdrawal, advancement and manipulation of the sigmoidoscope and (3) a final assessment of the nurse's competency in performing sigmoidoscopy independently.
RESULTS
In total, 119 outpatients (58 male and 61 female) with a mean age of 57·02 years (SD 14·6 years; range: 18-83 years) underwent flexible sigmoidoscopy by the nurse over 11 months. The mean procedural time was 9·38 minutes (SD 3·5 minutes; range 3-26 minutes). The procedure was terminated prematurely if it could not be tolerated by the patient or if the bowel preparation was inadequate. The mean depth of insertion was 53·5 cm (SD 12·2 cm; range 6-60 cm). In total, 82 patients had a normal exam, 32 patients had abnormalities. There were no procedural complications, and no patient required an unplanned hospital admission after the procedure.
CONCLUSION
In Queen Mary Hospital, nurses can be trained to perform flexible sigmoidoscopy in a safe and effective manner.
RELEVANCE TO CLINICAL PRACTICE
Nurse endoscopists could increase the use of flexible sigmoidoscopy in colorectal cancer screening and can also enhance the professional development of colorectal nurses.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Female; Hong Kong; Humans; Inservice Training; Male; Middle Aged; Sigmoidoscopy; Young Adult
PubMed: 20920016
DOI: 10.1111/j.1365-2702.2009.03093.x -
Journal of Clinical Gastroenterology Jan 1999Current practices vary regarding the approach to small polyps discovered during screening flexible sigmoidoscopy. The most common practice is to perform colonoscopy... (Review)
Review
Current practices vary regarding the approach to small polyps discovered during screening flexible sigmoidoscopy. The most common practice is to perform colonoscopy whenever any adenoma is detected, a strategy that generally uses biopsy of polyps < or = 5 mm in size. However, data suggest that tubular adenomas < 1 cm in size in the distal colon have less predictive value than other distal adenomas for advanced adenomas in the proximal colon. Thus, some centers reserve colonoscopy for distal adenomas with tubulovillous or villous histology, > 1 cm in size, or with high-grade dysplasia. At the other end of the spectrum, another school of thought advocates screening colonoscopy, recognizing that most patients with advanced proximal adenomas do not have polyps in their distal colon. Advocates of this approach use any excuse to perform colonoscopy, whether it be a positive fecal occult blood test, minor symptoms, or small polyp at flexible sigmoidoscopy, even if hyperplastic. This review describes the history of the controversy regarding management of findings at flexible sigmoidoscopy, the data pertinent to the controversy, and the basis for the three approaches described above, all of which are currently within the standard of medical care.
Topics: Colonic Polyps; Colonoscopy; History, 20th Century; Humans; Practice Patterns, Physicians'; Sigmoidoscopy
PubMed: 9916659
DOI: 10.1097/00004836-199901000-00004 -
Gastrointestinal Endoscopy Nov 1982
Topics: Colonic Neoplasms; Fiber Optic Technology; Humans; Rectal Neoplasms; Sigmoidoscopy
PubMed: 7173588
DOI: 10.1016/s0016-5107(82)73115-3 -
The American Journal of Medicine Sep 1999
Topics: Capitation Fee; Cost Control; Fees, Medical; Humans; Reimbursement Mechanisms; Sigmoidoscopy; United States
PubMed: 10492324
DOI: 10.1016/s0002-9343(99)00229-6 -
Geka Chiryo. Surgical Therapy May 1966
Topics: Humans; Sigmoidoscopes; Sigmoidoscopy
PubMed: 6014146
DOI: No ID Found -
British Medical Journal Sep 1980
Topics: Anesthesia, General; Humans; Proctoscopy; Sigmoidoscopy
PubMed: 7437766
DOI: No ID Found -
British Medical Journal Aug 1980
Topics: Ambulatory Care; Humans; Proctoscopy; Sigmoidoscopy
PubMed: 7427364
DOI: No ID Found -
British Medical Journal Aug 1980
Topics: Humans; Proctoscopy; Sigmoidoscopy
PubMed: 7427305
DOI: 10.1136/bmj.281.6237.435