Title: When and How To Use Endoscopic Tattooing in the Colon: An International Delphi Agreement |
Authors: Medina Prado, Lucía ![](/image/ORCID.jpg) hassan, cesare ![](/image/ORCID.jpg) Dekker, Evelien Bisschops, Raf Alfieri, Sergio Bhandari, Pradeep Bourke, Michael J. Bravo, Raquel Bustamante-Balen, Marco ![](/image/ORCID.jpg) Dominitz, Jason ![](/image/ORCID.jpg) Ferlitsch, Monika Fockens, Paul van der Veen, Monique ![](/image/ORCID.jpg) Lieberman, David Herraiz, Maite ![](/image/ORCID.jpg) Kahi, Charles ![](/image/ORCID.jpg) Kaminski, Michal Matsuda, Takahisa ![](/image/ORCID.jpg) Moss, Alan Pellisé, María Pohl, Heiko Rees, Colin Rex, Douglas K. ROMERO SIMÓ, MANUEL ![](/image/ORCID.jpg) Rutter, Matthew D. Sharma, Prateek Shaukat, Aasma Thomas-Gibson, Siwan ![](/image/ORCID.jpg) Valori, Roland ![](/image/ORCID.jpg) JOVER, RODRIGO ![](/image/ORCID.jpg) |
Editor: AGA Institute |
Department: Departamentos de la UMH::Medicina Clínica |
Issue Date: 2021-05 |
URI: https://hdl.handle.net/11000/30927 |
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.
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Type of document: application/pdf |
Access rights: info:eu-repo/semantics/closedAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
DOI: https://doi.org/10.1016/j.cgh.2021.01.024 |
Appears in Collections: Artículos Medicina Clínica
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