Sigmoidoscopy in General Practice

Feasibility of Direct Access Flexible Fibreoptic Sigmoidoscopy for General Practice

Direct access endoscopy of the upper gastrointestinal tract is now available in many centres1,2 with a high diagnostic yield, though it is doubtful whether this has reduced the complications from peptic ulcer disease.3 This pilot study was established in order to assess the feasibility of running a flexible fibreoptic sigmoidoscopy outpatient clinic with direct access referral for General Pract...

Sigmoidoscopy/proctoscopy service with open access to general practitioners.

Many hospitals now offer barium enema examinations to general practitioners on an open access basis, so bypassing the traditional sequence of first carrying out a sigmoidoscopy. An open access sigmoidoscopy/proctoscopy service was therefore opened with requests for a barium enema being denied unless preceded by sigmoidoscopy. During the first three and a half years 1458 patients referred direct...

A Preliminary Investigation of Cast Anxiety in General Orthopaedic Practice

Background: Anxiety following casting is an unrecognised complication that results in frequent visits to fracture clinic in the UK. There is a paucity of research regarding this complication. Failure to recognise Cast Anxiety (CA) leads to increased visits, frequent cast changes and possible failure of treatment despite no objective problems with the cast. Prior research has suggested a possibl...

Situating general practice training in the general practice context.

A lesson in sigmoidoscopy.

"watershed effect," finding 10 to 15 years ofproblems all in 2 years due to an enhanced technology, or the common effect of increased findings that happens with many new screening or casefinding programs. In any event, as a direct result of screening sigmoidoscopies, three patients have had their cancers diagnosed at an earlier time than would have otherwise happened. Most importantly, four to ...