Study Supports Value of Sigmoidoscopy, an Alternative to Colonoscopy

MONDAY, May 21 (HealthDay News) — New research confirms that
sigmoidoscopies — less-invasive alternatives to colonoscopies that don’t
require sedation — are effective in lowering the risk of colon
cancer.

Having the procedure lowered the risk of getting a colon cancer
diagnosis by 21 percent and the chances of dying from the disease by 26
percent, the researchers reported.

Many doctors no longer offer sigmoidoscopies, but an editorial
accompanying the study pointed out that sigmoidoscopies are still a good
option for some patients.

“Physicians need to find out which colorectal cancer screening test the
patient sitting in front of them will do, and recommend that test,” said
editorial author Dr. John Inadomi, a professor of medicine at the
University of Washington School of Medicine in Seattle. “It’s the test the
patient wants to do — not the test the doctor wants them to do — that is
important.”

Colon and rectal cancers kill more than 51,000 people a year in the
United States, according to the National Cancer Institute. Colonoscopies
allow doctors to view the lining of the entire colon as they engage in
search-and-destroy missions against polyps that could develop into
cancer.

Sigmoidoscopies use a smaller scope that searches only the lower colon,
potentially missing some precancerous polyps. Patients can return to home
or work right after the procedure because they are not sedated.

Both kinds of screening require a notoriously unpleasant cleansing of
the colon via a liquid laxative. However, sigmoidoscopies require less
laxative consumption than colonoscopies, Inadomi said.

But there is a hitch to sigmoidoscopies: If the procedure turns up
potentially dangerous polyps, they need to be removed during a subsequent
colonoscopy.

In the new study, researchers randomly assigned half of 154,900 people
aged 55 to 74 to sigmoidoscopies — 84 percent actually got them — and
tried to get those patients to return for a second sigmoidoscopy three to
five years later. The study lasted from 1993 to 2001.

The risk of colon cancer deaths in the patients overall was small —
593 occurred over an average of 12 years of follow-up. But the risk fell
by 26 percent in those who had the procedures compared to people in the
usual care group, who only got colonoscopies or sigmoidoscopies if they
asked for one or their doctor recommended one. The researchers estimated
that if they had used colonoscopies rather than sigmoidoscopies in their
study, they would have spotted 16 percent more cancers.

However, the researchers discovered that even colonoscopies sometimes
failed to find precancerous polyps.

When it comes to the ability of regular colonoscopies to detect polyps,
“we may have to do better,” said study author Dr. Robert Schoen, a
professor of medicine and epidemiology at the University of Pittsburgh
School of Medicine. “Or maybe we can’t do better.”

The study appears online May 21 in the New England Journal of
Medicine
, to coincide with a presentation at the annual Digestive
Diseases Week meeting in Chicago.

More information

For more about colon cancer, try the U.S. National Library of
Medicine.

Views: 0

You can skip to the end and leave a response. Pinging is currently not allowed.

Leave a Reply

Powered by WordPress | Designed by: Premium WordPress Themes | Thanks to Themes Gallery, Bromoney and Wordpress Themes