Endoscopic tattooing of colorectal neoplasms removed by laparoscopy: a proposal for selective marking

Alonso, Sandra; Pérez, Silvia; Argudo, Núria; Latorraca, José; Pascual, Marta; Álvarez, Marco Antonio Santamaría; Seoane, Agustín; Barranco, Luis; Grande, Luís; Pera, Miguél

doi:10.17235/reed.2017.5136/2017

Cited by 2 publications

(2 citation statements)

References 24 publications

(23 reference statements)

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“…6 On the other hand, computed tomography colonography is useful for detecting the primary tumour but it also provides information about synchronous and metachronous lesions, with a considerable radiation index, but it is not as effective as optical colonoscopy. 6,16 Metal clips may dislodge, it can be expensive and may require special equipment to identify lesions during laparoscopic surgery. Intraoperative colonoscopy is time consuming, expensive and troublesome to carry out, and may distend the bowel, thereby increasing the risk of contamination.…”

Section: Discussionmentioning

confidence: 99%

“…In conclusion, all colonic lesions that appear to be malignant should be tattooed during endoscopy to improve surgical localisation. 5,16,19 Tattoo endoscopy is a safe and effective method for preoperative tumour localisation. [4][5][6][7][8]11 A need for improvement and uniformity of tattoo practice among endoscopists despite the National Bowel Cancer Screening Programme guidelines is important.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic tattooing for colorectal lesions: impact on quality of care and patient outcomes

Nahid

Shrestha

Imtiaz

et al. 2020

annals

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Introduction The National Bowel Cancer Screening Programme guidelines advocate the use of endoscopic tattooing for suspected malignant lesions to assist identification and to facilitate laparoscopic resections. However, endoscopic tattooing practices are variable in endoscopic units, resulting in re-endoscopy and delay in patient management. The aim of this study was to assess the adherence to tattoo protocol for significant colonic lesions at an endoscopy unit in a large district general hospital. Materials and methods Prospectively collected data were analysed for 252 patients with significant colonic lesions between January 2017 and December 2018. Data were collected through reviewing patient’s notes, histopathology findings and endoscopy reports. Data on lesions, complications, number and site of tattoo placed, and any repeat endoscopy for a tattoo were collected. Results Of the 252 patients, 88% (n = 222) had malignant and 12% (n = 30) had benign lesions. Only 58.7% (n = 148) of those patients who had colonoscopy had tattoo placement reported. Of these 148 cases, the report stated the distance of tattoo in relation to the lesion in only 46% (n = 68) of patients. Unfortunately, 14.3% (n = 36) of patients required re-endoscopy to tattoo the lesions prior to surgery. Conclusions Our study highlights the lack of uniformity of tattoo practice among endoscopists. Despite the National Bowel Cancer Screening Programme guidelines, a significant proportion of colorectal lesions are still not tattooed during their first endoscopy. Some patients had to have repeat endoscopy just for the purpose of tattooing. Active involvement and participation of all endoscopists in the colorectal and the complex polyp multidisciplinary teams may help to improve the tattoo service.

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Section: Discussionmentioning

confidence: 99%