Sigmoidoscopy

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Anal biopsy

Sigmoid colon cancer, X-ray

Definition

Sigmoidoscopy is a procedure used to see inside the sigmoid colon and rectum.

Alternative Names

Flexible sigmoidoscopy; Sigmoidoscopy - flexible; Proctoscopy; Proctosigmoidoscopy; Rigid sigmoidoscopy

How the test is performed

During the test, you are positioned on your left side with your knees drawn up toward your chest. A gastroenterologist or surgeon will perform the test. First, the doctor does a digital rectal exam by gently inserting a gloved and lubricated finger into the rectum to check for blockage and to dilate (gently enlarge) the anus.

The sigmoidoscope has a small camera attached to a flexible tube. It is inserted through the anus and gently advanced. Air is introduced into the colon to open up the area and help the doctor see better. The air may cause the urge to have a bowel movement. Suction may be used to remove fluid or stool.

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Because the health care provider gets a better view as the sigmoidoscope is pulled back out, a more careful examination is done while the scope is being pulled out.

Tissue samples may be taken with tiny biopsy forceps inserted through the scope. Polyps may be removed with electrocautery snares, and photographs may be taken.

Sigmoidoscopy using a rigid scope may be done to treat problems of the anus or rectum.

How to prepare for the test

You must sign an informed consent form. You will wear a hospital gown.

On the morning of the procedure, eat a light breakfast and then use a cleansing enema about 1 hour before the sigmoidoscopy.

Infants and children:

The health care provider may suggest that your child only drink clear liquids for 12 to 24 hours before the procedure.

The preparation you can provide for this test depends on your child's age, previous experiences, and level of trust. For general information regarding how you can prepare your child, see the following topics: