Is Whole Colonic Imaging Necessary for Symptoms of Change in Bowel Habit and/or Rectal Bleeding

Colorectal Disease, 05/04/2012

12 patients who had left sided polyposis and one patient with a strong family history would have undergone WCI based on current CRC management guidelines. The remaining seven patients with right–sided cancer would have been missed if flexible sigmoidoscopy (FS) were the only investigation used. Patients presenting on the 2ww with symptoms of a change in bowel habit (CIBH) and or rectal bleeding (RB) can be adequately investigated with a FS with a 3% chance of missing a proximal cancer.

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