The best replacement for sigmoidoscopy is colonoscopy.

The best alternatives to sigmoidoscopy are rated as following:
★★★★★  colonoscopy
★★  barium enema
★★  proctoscopy
★★  flexible sigmoidoscopy
★★  endoscopy
★  proctosigmoidoscopy
  flexible
  sigmoidoscopy
  rigid sigmoidoscopy

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Google Trends

Scale is based on the average worldwide traffic of sigmoidoscopy in all years. Click on graph for more.
sigmoidoscopy
colonoscopy
barium enema