Skip to main content

Main menu

  • HOME
  • LATEST ARTICLES
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • RESOURCES
    • About BJGP Open
    • BJGP Open accessibility statement
    • Editorial Board
    • Editorial fellowships
    • Audio abstracts
    • eLetters
    • Alerts
    • Outreach
    • Feedback
    • BJGP Life
    • Advertising
    • Research into Publication Science
    • Conference
  • SPECIAL ISSUES
    • Special issue: Telehealth
    • Special issue: Race and Racism in Primary Care
    • Special issue: COVID-19 and Primary Care
    • Past research calls
  • RCGP
    • British Journal of General Practice
    • BJGP for RCGP members
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers

User menu

  • Alerts

Search

  • Advanced search
Intended for Healthcare Professionals
BJGP Open
  • RCGP
    • British Journal of General Practice
    • BJGP for RCGP members
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers
  • Subscriptions
  • Alerts
  • Log in
  • Follow bjgp on Twitter
  • Visit bjgp on Facebook
  • Blog
Intended for Healthcare Professionals
BJGP Open

Advanced Search

  • HOME
  • LATEST ARTICLES
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • RESOURCES
    • About BJGP Open
    • BJGP Open accessibility statement
    • Editorial Board
    • Editorial fellowships
    • Audio abstracts
    • eLetters
    • Alerts
    • Outreach
    • Feedback
    • BJGP Life
    • Advertising
    • Research into Publication Science
    • Conference
  • SPECIAL ISSUES
    • Special issue: Telehealth
    • Special issue: Race and Racism in Primary Care
    • Special issue: COVID-19 and Primary Care
    • Past research calls
Research

A prospective multicentre feasibility study of a novel digital rectoscope for the triage of lower gastrointestinal symptoms in primary care

James Lewis, Alan Askari, Arihant Mehta, Yasmin Razak, Prash Patel, Ravi Misra, Henry Tilney, Tanveer Ahmed, Mooyad Ahmed, Adnan Syeed, John Camilleri-Brennan, Ralph John Nicholls and James Macalister Kinross
BJGP Open 21 June 2022; BJGPO.2022.0036. DOI: https://doi.org/10.3399/BJGPO.2022.0036
James Lewis
1 Clinical Research Fellow Imperial College Healthcare NHS Trust, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alan Askari
2 Clinical Research Fellow St Mark’s Hospital London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Arihant Mehta
3 Medical student, King’s College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yasmin Razak
4 General practitioner, The Golborne Medical Centre, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Prash Patel
5 General practitioner, Magnolia House Practice, Ascot, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ravi Misra
6 Consultant Gastroenterologist, St Mark’s Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Henry Tilney
7 Consultant Colorectal & Robotic Surgeon, Frimley Park Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tanveer Ahmed
8 General Practitioner Shifa Surgery, Blackburn, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mooyad Ahmed
9 Consultant General Surgeon, East Lancashire Hospitals NHS Trust, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Adnan Syeed
10 General Practitioner, Forth Medical Group, Forth Valley, Scotland, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Camilleri-Brennan
11 Consultant General & Colorectal Surgeon, Forth Valley Royal Hospital, Scotland, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ralph John Nicholls
12 Visiting Professor in Colorectal Surgery, Imperial College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
James Macalister Kinross
13 Consultant Colorectal Surgeon at Imperial College Healthcare NHS Trust and Senior Lecturer in Colorectal Surgery Imperial College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for James Macalister Kinross
  • Article
  • Info
  • eLetters
  • PDF
Loading

Abstract

Background A prospective multicentre observational Phase I feasibility study of a novel digital rectoscope and telestration software for the triage of lower gastrointestinal (GI) symptoms.

Aim To determine if digital rectoscopy is feasible, acceptable and clinically safe.

Design & setting Evaluation of clinician case reports and patient questionnaires from patients recruited from five primary care centres.

Method Adults meeting two week wait (2WW) criteria for suspected lower GI cancer or suspected new diagnosis or flare-up of inflammatory bowel disease (IBD) were enrolled. Examinations were performed by primary care practitioners using the LumenEye® rectoscope. The CHiP platform allowed immediate remote review by secondary care. A prospective analysis was performed of patient and clinician experiences, diagnostic accuracy, and cost.

Results 114 patients were recruited (46 (40%) females: 68 (60%) males). No serious adverse events were reported. 82 (75%) patients reported that examination was more comfortable than expected, 104 (94%) felt intervention was most convenient if delivered in the community. Clinicians were confident of their assessment in 100 (87%) examinations. Forty-eight (42.1%) patients subsequently underwent colonoscopy, flexible sigmoidoscopy, or CT virtual colonoscopy. The overall sensitivity and specificity of LumenEye® in identifying rectal pathology was 90.0% and 88.9%. It was 100%/100% for cancer, and 83.3%/97.8% for polyps. Following LumenEye® examination, 19 (17%) patients were discharged, with projected savings of £11,305.

Conclusion Digital rectoscopy in primary care is safe, acceptable, and can reduce referrals. A Phase III randomised controlled trial is indicated to define its utility in reducing the burden on hospital diagnostic services.

  • rectoscopy
  • general practice
  • family practice
  • colorectal
  • endoscopy
  • covid-19
  • Received March 23, 2022.
  • Revision received May 31, 2022.
  • Accepted June 16, 2022.
  • Copyright © 2022, The Authors

This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)

Back to top
Previous ArticleNext Article

Latest Articles

Download PDF
Article Alerts
Or,
sign in or create an account with your email address
Email Article

Thank you for recommending BJGP Open.

NOTE: We only request your email address so that the person to whom you are recommending the page knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
A prospective multicentre feasibility study of a novel digital rectoscope for the triage of lower gastrointestinal symptoms in primary care
(Your Name) has forwarded a page to you from BJGP Open
(Your Name) thought you would like to see this page from BJGP Open.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Accepted Manuscript
A prospective multicentre feasibility study of a novel digital rectoscope for the triage of lower gastrointestinal symptoms in primary care
James Lewis, Alan Askari, Arihant Mehta, Yasmin Razak, Prash Patel, Ravi Misra, Henry Tilney, Tanveer Ahmed, Mooyad Ahmed, Adnan Syeed, John Camilleri-Brennan, Ralph John Nicholls, James Macalister Kinross
BJGP Open 21 June 2022; BJGPO.2022.0036. DOI: 10.3399/BJGPO.2022.0036

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Accepted Manuscript
A prospective multicentre feasibility study of a novel digital rectoscope for the triage of lower gastrointestinal symptoms in primary care
James Lewis, Alan Askari, Arihant Mehta, Yasmin Razak, Prash Patel, Ravi Misra, Henry Tilney, Tanveer Ahmed, Mooyad Ahmed, Adnan Syeed, John Camilleri-Brennan, Ralph John Nicholls, James Macalister Kinross
BJGP Open 21 June 2022; BJGPO.2022.0036. DOI: 10.3399/BJGPO.2022.0036
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Mendeley logo Mendeley

Jump to section

  • Top
  • Article
  • Info
  • eLetters
  • PDF

Keywords

  • rectoscopy
  • general practice
  • family practice
  • colorectal
  • endoscopy
  • COVID-19

More in this TOC Section

  • Long-term, high-dose opioid prescribing for chronic non-cancer pain in primary care
  • Use of DOACs in primary care: An integration of patient and practitioner perspectives
Show more Research

Related Articles

Cited By...

Intended for Healthcare Professionals

@BJGPOpen's Likes on Twitter

 
 

British Journal of General Practice

NAVIGATE

  • Home
  • Latest articles
  • Authors & reviewers
  • Accessibility statement

RCGP

  • British Journal of General Practice
  • BJGP for RCGP members
  • RCGP eLearning
  • InnovAiT Journal
  • Jobs and careers

MY ACCOUNT

  • RCGP members' login
  • Terms and conditions

NEWS AND UPDATES

  • About BJGP Open
  • Alerts
  • RSS feeds
  • Facebook
  • Twitter

AUTHORS & REVIEWERS

  • Submit an article
  • Writing for BJGP Open: research
  • Writing for BJGP Open: practice & policy
  • BJGP Open editorial process & policies
  • BJGP Open ethical guidelines
  • Peer review for BJGP Open

CUSTOMER SERVICES

  • Advertising
  • Open access licence

CONTRIBUTE

  • BJGP Life
  • eLetters
  • Feedback

CONTACT US

BJGP Open Journal Office
RCGP
30 Euston Square
London NW1 2FB
Tel: +44 (0)20 3188 7400
Email: bjgpopen@rcgp.org.uk

BJGP Open is an editorially-independent publication of the Royal College of General Practitioners

© 2022 BJGP Open

Online ISSN: 2398-3795