Key elements of the flexible sigmoidoscopy procedure report
| Element | Examples and comments |
|---|---|
| Informed consent | The 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 quality | Good, fair, poor |
| Size, number and location of lesions | Size: in mm diameter; location in cm from the anal verge and in estimated colon segment |
| Presence of other abnormalities | Diverticulosis, haemorrhoids, inflammatory findings |
| Performance of retroflexion | May not be feasible or safe in all patients |
| Disposition | Barium 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 |