March 6, 1954


Author Affiliations

27 Prospect Park West, Brooklyn 15.

JAMA. 1954;154(10):854. doi:10.1001/jama.1954.02940440052020

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To the Editor:—  In The Journal (154:121 [Jan. 9] 1953) Jampel, Dewing, and Jacobson introduced a bold idea in their paper "Simultaneous Sigmoidoscopy and Barium Enema." The authors must be complimented for their courage and for their good intentions, but such courage can only lead to disaster. In the first place a complete sigmoidoscopic examination worthy of the effort must include inspection of the entire mucosa during the withdrawal of the instrument. If this is so, then it would be necessary to reintroduce the instrument for the barium enema. This would make the combined procedure superfluous. Second, leaving the sigmoidoscope in situ and allowing the patient to move from side to back or any other position is extremely hazardous. Sigmoidoscopic and barium x-ray examinations are usually performed on patients with suspected disease in the rectum or sigmoid. Severe injury, if not perforation, can be produced when the patient is

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