Endoscopic tattooing

Abstract

The American Society for Gastrointestinal Endoscopy (ASGE) Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methodology is used, with a MEDLINE literature search to identify pertinent clinical studies on the topic and a MAUDE (U.S. Food and Drug Administration Center for Devices and Radiological Health) database search to identify the reported complications of a given technology. Both are supplemented by accessing the "related articles" feature of PubMed and by scrutinizing pertinent references cited by the identified studies. Controlled clinical trials are emphasized, but in many cases, data from randomized, controlled trials are lacking. In such cases, large case series, preliminary clinical studies, and expert opinions are used. Technical data are gathered from traditional and Web-based publications, proprietary publications, and informal communications with pertinent vendors. Technology Status Evaluation Reports are drafted by 1 or 2 members of the ASGE Technology Committee, reviewed and edited by the committee as a whole, and approved by the Governing Board of the ASGE. When financial guidance is indicated, the most recent coding data and list prices at the time of publication are provided. For this review, the MEDLINE database was searched through January 2010 for articles related to endoscopic tattooing by using the Keywords tattooing, colonic, endoscopic, India ink, indocyanine green in different search term combinations. Technology Status Evaluation Reports are scientific reviews provided solely for educational and informational purposes. Technology Status Evaluation Reports are not rules and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment or payment for such treatment.

The effect of colonoscopic tattooing on lymph node retrieval and sentinel lymph node mapping

“…In a series of 63 patients, 9.5% had peritoneal leakage, but mild peritonitis developed in only 1 patient. 24 Sentinel node detection after endoscopic tattooing is appealing because it is a side effect of a procedure that is often performed in daily practice to localize tumors in patients having laparoscopic surgery.…”

Safety of colonic tattoo with sterile carbon particle suspension: a proposed guideline with illustrative cases

“…2 Despite the widespread use of SCPS, the literature contains only two reports of complications of its use: one case of mild peritonitis and one case of fever, abdominal pain, and abnormal liver enzyme levels after injection at the hepatic flexure. 3 We report a series of 4 cases, with endoscopic and/or histological evidence that SCPS is not biologically inert nor its use clinically benign. It may be potentially hazardous.…”

“…3 Once the submucosal bleb begins to form, saline solution injection is stopped, the needle tip is left in situ, and the saline syringe is exchanged for the SCPS syringe. SCPS is then injected.…”

“…3 We believe that any update of this review should emphasize that SCPS is not biologically inert. Furthermore, its scope should be expanded to include practical guidelines that reflect this.…”

Enteroscopic Tattooing for Better Intraoperative Localization of a Bleeding Jejunal GIST Facilitates Minimally Invasive Laparoscopically-assisted Surgery

“…Marking the lesion with SPOT during enteroscopy improved significantly the ability to locate the lesion intraoperatively and allowed a minimally invasive surgical approach. Tattooing agents usually used are indocyanine green, India ink and SPOT, and their indications, outcomes and safety data have been previously reviewed by ASGE in a Technology Status Evaluation Report [11].…”