Year 2021 / Volume 113 / Number 7
Original
Ways to perform an endoscopic tattoo. Prospective and randomized study in patients with colorectal neoplasm

519-523

DOI: 10.17235/reed.2020.7310/2020

David Barquero, Verónica González, Orlando García, Alejandro Fernández, Alejandro Blasco, Mercè Navarro, Ana Bargalló García, Marta Martín, Eva Erice, Xavier Ariza, Carlos Hernández, Celia Vascónez, Montse Martín, Jordi Castellví, Alfredo Mata,

Abstract
Background and aims: intraoperative identification of colonic lesions previously detected via colonoscopy may be difficult. Endoscopic tattooing facilitates identification, but there is no evidence regarding which is the best tattoo technique. The goal of the study was to describe the efficacy and safety of endoscopic tattooing and to detect technical and clinical factors associated with its efficacy. Patients and methods: a prospective and randomized study was performed. All tattoo candidate patients were included prior to surgery and randomized into four groups; tattoo at two or three injection points and with a volume of 1 or 1.5 ml of labeling. Multiple variables were registered. Results: one hundred and ninety-five patients were included with an endoscopic tattoo and who subsequently underwent a surgical intervention, the mean age was 70.1 years and 67.2 % were male. The laparoscopic approach was applied in 57.9 % of cases. The intraoperative visibility of the endoscopic tattoo was 89.7 % and 30 % of rectal lesions were not visible. Excluding the rectum, the marking was visible intraoperatively in 92 % of patients, without significant differences according to the surgical approach, the type of marking or any of the variables collected. The tattoo was safe in 92.3 % of the cases. The adverse effect rate was 7.7 % and none of the complications were clinically significant. There were no significant differences between any variables collected in relation to adverse effects. Conclusions: endoscopic colon tattoo is safe and effective regardless of the technique used. We recommend the technique of two injection points and 1 ml of marking volume for its simplicity, efficiency and safety.
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References
1. Cho YB, Lee WY, Yun HR, Lee WS, Yun SH, Chun HK. Tumor localization for laparoscopic colorectal surgery. World.J.Surg. 2007;31:1491-1495.
2. Vignati P, Welch JP, Cohen JL. Endoscopic localization of colon cancers. Surg.Endosc. 1994;8(9):1085-1087.
3. Wexner SD, Cohen SM, Ulrich A, Reissman P. Laparoscopic colorectal surgery - are we being honest with our patients? Dis.Colon Rectum. 1995;38(7):723-727.
4. Milone M, Vignali A, Manigrasso M, et al. Sterile carbon particle suspension vs india ink for endoscopic tattooing of colonic lesions: a randomized controlled trial. Tech.Coloproctol. 2019;23(11):1073-1078.
5. Blouhos K, Boulas KA, Paraskeva A, et al. Preoperative endoscopic tattooing for colonic polyp localization: from blue to black. Clin.Case Rep. 2009;7(11):2258-2259.
6. Keller D, Jaffe J, Phillip MM, Haluszka O, Kahha A. Should all endoscopically excised rectal polyps be tattooed? A plea for localization. Surg.Endosc. 2012;26(11):3101-3105.
7. Zafar A, Mustafa M, Chapman M. Colorectal polyps: when should we tattoo? Surg.Endosc. 2012;26(11):3264-3266.
8. Moss A, Bourke MJ, Pathmanathan N. Safety of colonic tattoo with sterile carbon particle suspension: a proposed guideline with illustrative cases. Gastrointest.Endosc. 2011;74(1):214-218.
9. Park JW, Sohn DK, Hong CW, et al. The usefulness of preoperative colonoscopic tattooing using a saline test injection method with prepackaged sterile India ink for localization in laparoscopic colorrectal surgery. Surg. Endosc. 2008;22(2):501-505.
10. Fennerty MB, Sampliner RE, Hixson LJ, Garewal HS. Effectiveness of India Ink as a long-term colonic mucosal marker. Am.J.Gastroenterol 1992;87(1): 79-81.
11. Douglas K. Rex. The appropriate use and techniques of tattooing in the colon. Gastroen.Hepat. 2018;14(5):314-317.
12. Ono S, Fujishiro M, Goto O, Kodashima S, Omata M. Endoscopic submucosal dissection for colonic laterally spreading tumors is difficult after target tattooing. Gastrointest.Endosc. 2009;69(3):763-766.
13. Spaete JP, Zheng J, Chow SC, Burbridge RA, Garman Ks. Inconsistencies in colonic tattooing practice: differences in reported and actual practices at a tertiary medical center. South.Med.J. 2019;112(4):222-227.
14. Ferlitsch M, Moss A, Hassan C, et al. Colorectal polypectomy and endoscopic mucosal resection (EMR): European Society of Gastrointestinal Endoscopy (ESGE) clinical. Endoscopy. 2017;49(3):270-297.
15. Aboosy N, Mulder CJ, Berends FJ, Meijer JW, Sorge AA. Endoscopic tattoo of the colon might be standardized to locate tumors intraoperatively. Rom.J.Gastroenterol. 2005;14(3):245-248.
16. Fu Kl, Fujii T, Kato S, et al. A new endoscopic tattoing technique for identifying the location of colonic lesions during laparoscopic surgery: a comparison with the conventional technique. Endoscopy. 2001;33(8):687-691.
17. Sawaki A, Nakamura T, Suzuki T, et al. A two-step method for marking polypectomy sites in the colon and rectum. Gastrointest.Endosc. 2003;57(6):735-737.
18. Trakarnsanga A, Akaraviputh T. Endoscopic tattooing of colorectal lesions: is it a risk-free procedure? World.J.Gastrointest.Endosc 2011;3(12):256-260.
19. Cubiella J, Marzo-Castillejo M, Mascort-Roca JJ, et al. Clinical practice guideline. Diagnosis and prevention of colorectal cancer. 2018. Update. Gastroenterol.Hepatol. 2018;41(9):585-596.
20. Alonso S, Pérez S, Argudo N, et al. Endoscopic tattooing of colorectal neoplasms removed by laparoscopy: a proposal for selective marking. Rev.Esp.Enferm.Dig. 2018;110(1):25-29.
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Barquero D, González V, García O, Fernández A, Blasco A, Navarro M, et all. Ways to perform an endoscopic tattoo. Prospective and randomized study in patients with colorectal neoplasm. 7310/2020


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Publication history

Received: 02/06/2020

Accepted: 05/09/2020

Online First: 01/12/2020

Published: 07/07/2021

Article revision time: 85 days

Article Online First time: 182 days

Article editing time: 400 days


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