Korean Journal of Gastrointestinal Endoscopy 1994;14(3): 339-342.
원저 : 대장용종 절제후 점막표시물질로서 India Ink 의 유용성 ( Original Articles : Endoscopic India Ink Marking of the Colonic Mucosa )
장린, 장영운, 이정일, 김병호, 김효종, 동석호, 나득영, 천호기 (Rin Chang, Young Woon Chang, Jung Il Lee, Byung Ho Kim, Hyo Jong Kim, Seok Ho Dong, Deug Young Na and Ho Gi Cheon)
Abstract
It is now generally accepted that most, if not all, colon cancers originate within previ- ously benign adenomas. Endoscopic polyp resection and regular follow up endoscopic examination are essential for prevention of carcinoma fro benign adenoma. However, small colorectal polyps are difficult to recognize during follow up endoscopic examinations because of the lack of reliable endoscopic landmarkers. Endoscopic Indiaink marking of the colon was first described by Ponsky and King in l975. The method has subsequently been advocated by expert as the best available means to mark the site of a colonic lesion. We prospectively studied the effectiveness of India ink as a long term colonic mucosal marker. Twelve patients who were diagnosed as colorectal polyp had a India ink marking with standard sclerotherapy needle. All patients who were followed at 6 months interval (mean duration 13 months) continue to display intensely stained mucosa at the original sites. No side effects or complications were encountered. India ink appears to be a safe and effective long term marker for colonic mucosal lesions.