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Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center.

Publication ,  Journal Article
Spaete, JP; Zheng, J; Chow, S-C; Burbridge, RA; Garman, KS
Published in: South Med J
April 2019

OBJECTIVES: Accurate localization of a colonic lesion is crucial to successful resection. Although colonic tattooing is a widely accepted technique to mark lesions for future identification surgery or repeat colonoscopy, no consensus guidelines exist. The objective of this study was to determine whether the current tattooing practice at a tertiary medical center differs from recommendations in the literature and self-reported provider practice. METHODS: The study consisted of an observational retrospective chart review of patients who received colonic tattoos, as well as a provider survey of reported tattooing practices at a tertiary academic medical center. A total of 747 patients older than 18 years of age who underwent colonoscopy with tattoo were included. Forty-four gastroenterologists performing endoscopy were surveyed on tattooing techniques. RESULTS: In the majority of cases, neither the number of tattoos, location of the tattoo nor the distance from the lesion was specified within the report. Following the index procedure, a tattoo was detected in 75% of surgical resections and 73% of endoscopies. At the time of surgery, however, the tattoo and/or the lesion was detected approximately 94% of the time. Twenty-five endoscopists (56.8%) completed the survey. Differences were seen the between the chart review and reported practice. Most providers report placing ≥2 marks (87.2%); however, chart review revealed that only 56.2 % were tattooed with ≥2 marks. CONCLUSIONS: Variation exists between the reported tattooing practice and actual practice. Despite this, most tattoos are identified at the time of surgery or repeat endoscopy. Further research is needed to determine whether a standardized approach to tattooing and reporting could improve localization at repeat endoscopy.

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Published In

South Med J

DOI

EISSN

1541-8243

Publication Date

April 2019

Volume

112

Issue

4

Start / End Page

222 / 227

Location

United States

Related Subject Headings

  • Young Adult
  • Tertiary Care Centers
  • Tattooing
  • Retrospective Studies
  • Practice Patterns, Physicians'
  • Middle Aged
  • Male
  • Humans
  • General & Internal Medicine
  • Gastroenterologists
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Spaete, J. P., Zheng, J., Chow, S.-C., Burbridge, R. A., & Garman, K. S. (2019). Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center. South Med J, 112(4), 222–227. https://doi.org/10.14423/SMJ.0000000000000964
Spaete, Joshua P., Jiayin Zheng, Shein-Chung Chow, Rebecca A. Burbridge, and Katherine S. Garman. “Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center.South Med J 112, no. 4 (April 2019): 222–27. https://doi.org/10.14423/SMJ.0000000000000964.
Spaete JP, Zheng J, Chow S-C, Burbridge RA, Garman KS. Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center. South Med J. 2019 Apr;112(4):222–7.
Spaete, Joshua P., et al. “Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center.South Med J, vol. 112, no. 4, Apr. 2019, pp. 222–27. Pubmed, doi:10.14423/SMJ.0000000000000964.
Spaete JP, Zheng J, Chow S-C, Burbridge RA, Garman KS. Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center. South Med J. 2019 Apr;112(4):222–227.

Published In

South Med J

DOI

EISSN

1541-8243

Publication Date

April 2019

Volume

112

Issue

4

Start / End Page

222 / 227

Location

United States

Related Subject Headings

  • Young Adult
  • Tertiary Care Centers
  • Tattooing
  • Retrospective Studies
  • Practice Patterns, Physicians'
  • Middle Aged
  • Male
  • Humans
  • General & Internal Medicine
  • Gastroenterologists