A two-step method for marking polypectomy sites in the colon and rectum

  • Akira Sawaki
  • , Tsuneya Nakamura
  • , Takashi Suzuki
  • , Kazuo Hara
  • , Tetsuya Kato
  • , Tomoyuki Kato
  • , Takashi Hirai
  • , Yukihide Kanemitsu
  • , Kenji Okubo
  • , Kyosuke Tanaka
  • , Ichiro Moriyama
  • , Hiroki Kawai
  • , Masaki Katsurahara
  • , Kakuya Matsumoto
  • , Kenji Yamao

Research output: Contribution to journalArticlepeer-review

50 Citations (Scopus)

Abstract

Background: Intraoperative localization of polypectomy sites is critical for laparoscopic and open surgery, but conventional methods of marking the colorectum are sometimes unreliable. A new two-step method for marking polypectomy sites for identification during laparoscopic and open operations is described. Methods: Eighteen patients with postpolypectomy lesions necessitating preoperative marking were enrolled in this study. A physiologic saline solution was endoscopically injected into the submucosa to produce an artificial submucosal elevation (pseudopolyp). A small volume of India ink was then injected into the submucosal elevation (pseudopolyp) with a separate needle. Results: The two-step method was easily applied for all lesions without complication. At surgery, all lesions were immediately visualized. Conclusion: The two-step tattooing method proved to be easy, safe, and accurate for marking polypectomy sites.

Original languageEnglish
Pages (from-to)735-737
Number of pages3
JournalGastrointestinal endoscopy
Volume57
Issue number5
DOIs
Publication statusPublished - 01-05-2003

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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