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June 10, 1974

Flexible Fiberoptic Colonoscopy: A Guide for Its Use in the Management of Diseases of the Colon

Author Affiliations

From the Jefferson Medical College, Thomas Jefferson University, Philadelphia.

JAMA. 1974;228(11):1411-1413. doi:10.1001/jama.1974.03230360041023

The flexible fiberoptic instrument, developed for inspection of the lumen of the colon, has had sufficient clinical trial to warrant a description of its feasibility, capabilities, reliability, hazards, indications, contraindications, and expense-yield ratio in the diagnosis and management of colonic disorders. This method of examination of the colonic mucosa permits visualization of many abnormalities that escape radiographic and sigmoidoscopic detection.

Should the first-line diagnostic efforts of barium enema examination and sigmoidoscopy be less than consistent with other clinical features, colonoscopy is indicated. Diagnosis and removal of polyps add to the enormous impact of flexible fiberoptic colonscopy on the management of colonic disorders.

(JAMA 228:1411-1413, 1974)