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It's not in addition to, it's instead of. Reason, in addition to cost, is that the majority of polyps are found in the region covered by a sigmoidoscopy. If you have a history of colon cancer in your family, and are over age 40, I'd strongly argue for the colonoscopy.

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Q: My doctor wants to do a sigmoidoscopy in addition to a colonoscopy. Why not just the colonoscopy?
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