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September 23, 1939


JAMA. 1939;113(13):1243. doi:10.1001/jama.1939.02800380061026

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To the Editor:—  For twenty-five years I have employed for patients, and taught my interns to employ, a special position for the use of the sigmoidoscope. While the knee-chest is an acceptable position for men, it is less acceptable for women, especially corpulent ones, and impossible for the sick and weak and for those confined to bed. But I have discovered that many who use the sigmoidoscope do not know of this position, so I am describing it herewith.The patient lies on the left side across the examining couch or bed, with the buttocks hanging slightly over the edge, the legs drawn up and the back not straight across but at an angle of 10 or 15 degrees to the edge of the bed, so that the shoulders are in advance of the buttocks. It is not a Sims position, for both arms are forward in front of the

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