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How to perform EUS-guided tattooing?


1 Gastroenterology and Internal Medicine Departments, Colentina Clinical Hospital, Carol Davila University of Medicine, Bucharest, Romania; Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
2 Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS; CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy
3 Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna/Imola Hospital, Imola, Italy
4 Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China
5 Department of Gastroenterology, Allgemeines Krankenhaus Celle, Celle, Germany
6 Department of Internal Medicine, Krankenhaus MärkischOderland, Strausberg and Brandenburg Institute for Clinical Ultrasound, Neuruppin, Germany
7 Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
8 Center Hospitalier de l'Université de Montréal, Montreal, Canada
9 Digestive Endoscopy Unit, Hopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France
10 Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy
11 Johann Wolfgang Goethe University, Frankfurt, Germany & Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, UK
12 Surgical Gastroenterology Unit, Groote Schuur Hospital, Cape Town, South Africa
13 Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy
14 Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China
15 Medical Department, Helios Klinikum, Meiningen, Germany
16 Department of Gastroenterology and Hepatology, Health Research Institute of Santiago de Compostela (IDIS), University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
17 Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
18 HPB Unit, Freeman Hospital, Newcastle upon Tyne, UK
19 Department of Gastroenterology, ShengJing Hospital of China Medical University, Shenyang, Liaoning Province, China
20 Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China
21 Department Allgemeine Innere Medizin, Kliniken Hirslanden, Beau Site, Salem und Permanence, Bern, Switzerland

Correspondence Address:
Mihai Rimbas,
Department of Gastroenterology, Colentina Clinical Hospital, Department of Internal Medicine, Carol Davila University of Medicine 19-21 Stefan cel Mare Street, 020125, Bucharest, Romania

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_44_20

PMID: 32883923

Recently, we introduced a series of papers describing on how to perform certain techniques and controversies in EUS. In the first paper, “What should be known before performing EUS examinations, Part I,” the authors discussed clinical information and whether other imaging modalities should be needed before embarking in EUS examination. In Part II, some technical controversies on how EUS is performed are discussed from different points of view by providing the relevant available evidence. Herewith, we describe on how to perform EUS-guided fine needle tattooing (FNT) in daily practice. The aim of this paper is to discuss pros and cons for several issues including historical remarks, injecting material, technical approach, and how to perform EUS-FNT including argues in favor and against.


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