Gut 52:1229 doi:10.1136/gut.52.8.1229
  • Letter

Effect of a rapid access flexible sigmoidoscopy clinic on the yield of early stage rectal cancer

  1. R C A Macadam1,
  2. J E Lovegrove1,
  3. P J Lyndon1,
  4. P Byrne2,
  5. O Baldo2
  1. 1Department of Colorectal Surgery, Dewsbury and District Hospital, Halifax Rd, Dewsbury West Yorkshire, UK
  2. 2Department of Surgery, St James’s University Hospital, Leeds, UK
  1. Correspondence to:
    Dr R Macadam, Professorial Surgical Unit, St James’s Hospital, Leeds LS9 7TF, UK;

    We read with interest the debate on population based endoscopic screening for colorectal cancer (Gut 2003;52:323–6). While we agree that the case for population screening is compelling, we believe that Macafee and Scholefield’s statement that “earlier diagnosis is unlikely to occur through increased awareness or patient education alone” is unnecessarily pessimistic.

    We have recently had the opportunity to audit the impact of a dedicated rapid access flexible sigmoidoscopy clinic established in the endoscopy department of Dewsbury and District Hospital …