Implementation Talking Points Preparation varies across practices. The usual preparation for flexible sigmoidoscopy is two enemas on the morning of the exam.
Some practices use a more complete prep.
A flexible sigmoidoscopy should be performed every 5 years. Provider capacity to provide flexible sigmoidoscopy to all eligible patients is unknown. This is a test that requires training and proficiency to be able to identify abnormal lesions and maintain a low complication rate. Including flexible sigmoidoscopy training in all primary care training programs will gradually impact the pool of clinicians who are likely to offer this screening option. Again, colonoscopy provides the ability to biopsy immediately, whereas DCBE does not.