Year 2018 / Volume 110 / Number 1
Original
Endoscopic tattooing of colorectal neoplasms removed by laparoscopy: a proposal for selective marking

25-29

DOI: 10.17235/reed.2017.5136/2017

Sandra Alonso, Silvia Pérez, Núria Argudo, José Isaac Latorraca, Marta Pascual, Marco Antonio Álvarez, Agustín Seoane, Luis Eugenio Barranco, Luis Grande, Miguel Pera,

Abstract
Background and aim: Preoperative endoscopic tattooing is an effective procedure to identify small intraoperative neoplasms. However, there are no defined criteria with regard to the indications for endoscopic tattooing of these lesions at the time of diagnosis. The aim of this study was to establish endoscopic criteria that allow the selection of patients who will need a tattoo during the diagnostic colonoscopy. Methods: An ambispective study of patients undergoing laparoscopy due to a colorectal neoplasia who underwent endoscopic tattooing during the period from 2007-2013 and 2016-2017. According to the endoscopic description of the neoplasms, the classification was polypoid lesions, neoplasms occupying < 50% or ≥ 50% of the intestinal lumen and stenosing neoplasias. Results: Tattooing of the lesion was performed in 120 patients and the same lesions were identified during surgery in 114 (95%) cases. Most of the neoplasias described as polypoids and neoplasias that occupied < 50% of the intestinal lumen were not visualized during surgery and therefore required a tattoo (33 of 42 and 18 of 26 respectively, p = 0.0001, X2). On the other hand, stenosing lesions or neoplasias occupying ≥ 50% of the intestinal lumen were mostly identified during surgery (15 of 15 and 36 of 37 respectively, p = 0.0001, X2) without the need for a tattoo. Overall, the identification of neoplasms according to established criteria was 98%. Conclusion: These results suggest that it is possible to establish endoscopic criteria that allow a successful selective tattooing during diagnostic endoscopy.
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Alonso S, Pérez S, Argudo N, Latorraca J, Pascual M, Álvarez M, et all. Endoscopic tattooing of colorectal neoplasms removed by laparoscopy: a proposal for selective marking . 5136/2017


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Publication history

Received: 21/06/2017

Accepted: 09/08/2017

Online First: 06/11/2017

Published: 12/01/2018

Article revision time: 44 days

Article Online First time: 138 days

Article editing time: 205 days


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