When and How To Use Endoscopic Tattooing in the Colon: An International Delphi Agreement.
Clin Gastroenterol Hepatol
; 19(5): 1038-1050, 2021 05.
Article
in En
| MEDLINE
| ID: mdl-33493699
ABSTRACT
BACKGROUND & AIMS:
There is a lack of clinical studies to establish indications and methodology for tattooing, therefore technique and practice of tattooing is very variable. We aimed to establish a consensus on the indications and appropriate techniques for colonic tattoo through a modified Delphi process.METHODS:
The baseline questionnaire was classified into 3 areas where tattooing should not be used (1 domain, 6 questions), where tattooing should be used (4 domains, 20 questions), and how to perform tattooing (1 domain 20 questions). A total of 29 experts participated in the 3 rounds of the Delphi process.RESULTS:
A total of 15 statements were approved. The statements that achieved the highest agreement were as follows tattooing should always be used after endoscopic resection of a lesion with suspicion of submucosal invasion (agreement score, 4.59; degree of consensus, 97%). For a colorectal lesion that is left in situ but considered suitable for endoscopic resection, tattooing may be used if the lesion is considered difficult to detect at a subsequent endoscopy (agreement score, 4.62; degree of consensus, 100%). A tattoo should never be injected directly into or underneath a lesion that might be removed endoscopically at a later point in time (agreement score, 4.79; degree of consensus, 97%). Details of the tattoo injection should be stated clearly in the endoscopy report (agreement score, 4.76; degree of consensus, 100%).CONCLUSIONS:
This expert consensus has developed different statements about where tattooing should not be used, when it should be used, and how that should be done.
Full text:
1
Database:
MEDLINE
Main subject:
Tattooing
Limits:
Humans
Language:
En
Year:
2021
Type:
Article