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Address for correspondence: Prof. Uday C. Ghoshal, Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow ‐ 226 014, Uttar Pradesh, India. E‐mail: udayghoshal@gmail.com In the current series, the diagnostic yield of rigid sigmoidoscopy in patients with bleeding per rectum was very high to the tune of 98.5% of whom 72.7% had hemorrhoids.[1] This may suggest that in patients with bleeding per rectum, the rigid sigmoidoscopic examination is very useful. In fact, in practice, most of us working in big university hospitals have seen that patients with ulcerative colitis presenting with bleeding per rectum had surgery for piles, albeit inappropriately, in a community care setting, which could be obviated by a rigid sigmoidoscopic examination. Therefore, the result of this study has important clinical application.

Rigid sigmoidoscopic examination for rectosigmoid lesions: The older the fiddle, the sweeter the tune