Table 3

 Key elements of the flexible sigmoidoscopy procedure report

ElementExamples and comments
Informed consentThe procedure, its indications, risks, benefits and alternatives were explained to the patient, who had an opportunity to ask questions, and indicated a desire to proceed.
Preparation qualityGood, fair, poor
Size, number and location of lesionsSize: in mm diameter; location in cm from the anal verge and in estimated colon segment
Presence of other abnormalitiesDiverticulosis, haemorrhoids, inflammatory findings
Performance of retroflexionMay not be feasible or safe in all patients
DispositionBarium enema or colonoscopy to be done soon, repeat sigmoidoscopy in 5 or 10 years, further follow up based on recommendations of primary care provider, clinicians identified as providing follow up care