Detalle Publicación


When and how to use endoscopic tattooing in the colon: an international Delphi agreement

Autores: Medina-Prado, L.; Hassan, C.; Dekker, E.; Bisschops, R.; Alfieri, S.; Bhandari, P.; Bourke, M. J.; Bravo, R.; Bustamante-Balen, M.; Dominitz, J.; Ferlitsch, M.; Fockens, P.; van-Leerdam, M.; Lieberman, D.; Herráiz Bayod, Maite; Kahi, C.; Kaminski, M.; Matsuda, T.; Moss, A.; Pellise, M.; Pohl, H.; Rees, C.; Rex, D. K.; Romero-Simo, M.; Rutter, M. D.; Sharma, P.; Shaukat, A.; Thomas-Gibson, S.; Valori, R.; Jover, R. (Autor de correspondencia)
ISSN: 1542-3565
Volumen: 19
Número: 5
Páginas: 1038 - 1050
Fecha de publicación: 2021
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.