Dr. David Lee Trains Fellows on Endoscopic Tattooing and Submucosal Lifting

Dr. David Lee Trains Fellows on Endoscopic Tattooing and Submucosal Lifting

February 18, 2022 | Dallas, TX

November was an exciting month for the Fellows at Methodist Dallas and Baylor Dallas! Six participants continued their education and refined their skills in the endoscopic tattoo and submucosal lifting realm, led by Dr. David Lee, MD MPH, and sponsored by GI Supply.

Dr. Lee is board certified in Gastroenterology and Internal Medicine and specializes in advanced minimally invasive therapies of the GI tract. His professional affiliations include the American College of Gastroenterology (ACG), American Gastroenterological Association (AGA), American Foregut Society (AFS), Texas Society for Gastroenterology and Endoscopy (TSGE), and he is currently serving as a committee member on the American Society for Gastrointestinal Endoscopy (ASGE) Medical Simulation and Educational Technology committee. He believes it is important to train Fellows on endoscopic tattooing and mucosal resection and mentioned, “There is continued discussion on the lack of training in Fellowship programs. Fellows should be able to remove a lesion up to 2cm in size without referring to a specialist, but there is an alarming trend where Fellows don’t feel comfortable with even basic endoscopic mucosal resection. They say they haven’t received enough training. A large portion of these cases are still going to surgeons for colonic resection, which shouldn’t be the case for benign lesions. They should be endoscopically removed.”

…there is an alarming trend where Fellows don’t feel comfortable with even basic endoscopic mucosal resection. They say they haven’t received enough training.

– Dr David Lee

To help the Fellows gain that much needed education and confidence, Dr. Lee led a wet lab where the Fellows had the opportunity to practice their skills in a controlled environment.  This setting “brings it from abstract concept to real life. They can see the actual function and effects of the products,” said Dr. Lee when asked what the most beneficial part of the event was. The hands-on wet lab was also a favorite of the Fellows. Dr. Lee stated, “Fellows loved the event. Most of them said it was the first time they were able to use a lifting agent to perform a submucosal injection. We had 2nd and 3rd year Fellows who said they had never touched this in the past.” The benefit of these Fellows’ events is career-long. According to the Multi Society Task Force, which is comprised of representatives from ACG, AGA, and ASGE, “It is recommended to use tattoo, comprised of sterile carbon particle suspension, to demarcate any lesion that may require localization at future endoscopic or surgical procedures¹.” It is known that “effective tattooing is the most reliable method of ensuring that the correct segment of colon is resected².” Additionally, it is imperative to understand and follow these guidelines as Fellows advance their careers. These events provide an environment for Fellows to learn, ask questions and get hands-on training with experts in their field.

Check out our website to keep up with upcoming blog articles and stay tuned for our next blog article covering tips and tricks for endoscopic tattooing.

If you are interested in having GI Supply sponsor a Fellow’s event at your facility, please contact your local rep or email Info@gi-supply.com

1 – Kaltenbach et al. Endoscopic Removal of Colorectal Lesions – Recommendations by the US Multi Society Task Force on Colorectal Cancer. Feb 2020

2 – Rex DK. Driving patient safety with endoscopic tattooing. Gastroenterology and Endoscopy News. 2015 May.

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