When and How To Use Endoscopic Tattooing in the Colon: An International Delphi Agreement
dc.contributor.author | Medina-Prado, Lucía | |
dc.contributor.author | Hassan, Cesare | |
dc.contributor.author | Dekker, Evelien | |
dc.contributor.author | Bisschops, Raf | |
dc.contributor.author | Alfieri, Sergio | |
dc.contributor.author | Bhandari, Pradeep | |
dc.contributor.author | Bourke, Michael J. | |
dc.contributor.author | Bravo, Raquel | |
dc.contributor.author | Bustamante-Balen, Marco | |
dc.contributor.author | Dominitz, Jason | |
dc.contributor.author | Ferlitsch, Monika | |
dc.contributor.author | Fockens, Paul | |
dc.contributor.author | van Leerdam, Monique | |
dc.contributor.author | Lieberman, David | |
dc.contributor.author | Herráiz, Maite | |
dc.contributor.author | Kahi, Charles | |
dc.contributor.author | Kaminski, Michal | |
dc.contributor.author | Matsuda, Takahisa | |
dc.contributor.author | Moss, Alan | |
dc.contributor.author | Pellisé, Maria | |
dc.contributor.author | Pohl, Heiko | |
dc.contributor.author | Rees, Colin | |
dc.contributor.author | Rex, Douglas K. | |
dc.contributor.author | Romero-Simó, Manuel | |
dc.contributor.author | Rutter, Matthew D. | |
dc.contributor.author | Sharma, Prateek | |
dc.contributor.author | Shaukat, Aasma | |
dc.contributor.author | Thomas-Gibson, Siwan | |
dc.contributor.author | Valori, Roland | |
dc.contributor.author | Jover, Rodrigo | |
dc.contributor.department | Medicine, School of Medicine | en_US |
dc.date.accessioned | 2021-03-12T19:30:58Z | |
dc.date.available | 2021-03-12T19:30:58Z | |
dc.date.issued | 2021 | |
dc.description.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. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | 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, M., Kahi, C., Kaminski, M., Matsuda, T., Moss, A., … Jover, R. (2021). When and How To Use Endoscopic Tattooing in the Colon: An International Delphi Agreement. Clinical Gastroenterology and Hepatology. https://doi.org/10.1016/j.cgh.2021.01.024 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/25375 | |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.isversionof | 10.1016/j.cgh.2021.01.024 | en_US |
dc.relation.journal | Clinical Gastroenterology and Hepatology | en_US |
dc.rights | Publisher Policy | en_US |
dc.source | Author | en_US |
dc.subject | endoscopic tattooing | en_US |
dc.subject | colon | en_US |
dc.subject | Delphi process | en_US |
dc.title | When and How To Use Endoscopic Tattooing in the Colon: An International Delphi Agreement | en_US |
dc.type | Article | en_US |