iLearning Recorded Webinar

Ensuring Patient Safety

with Endoscopic Tattooing



Endoscopic marking, first described in 1975, is used to assist in operative localization and to facilitate identification of subtle mucosal lesions. It is rapidly gaining attention for its use in the GI Suite This faculty-directed continuing education activity will provide information on the role of endoscopic tattoo in patient safety. Enhanced visualization, preoperative lesion localization and prevention of wrong site surgery will all contribute to patient safety.

Target Audience

This CNE activity is intended primarily for RNs with a responsibility for or an interest in endoscopic tattoo, particularly in the endoscopy or perioperative suite. The presentation will also be of interest to allied healthcare personnel and MDs involved in those areas.

Learner Objectives

Upon completion of this presentation, participants will be able to:

  1. Describe advantages and disadvantages of endoscopic tattooing as a marking tool in GI Endoscopy
  2. Describe indications for endoscopic tattooing in the GI tract
  3. Discuss the impact of endoscopic tattooing on wrong site surgery reduction
Teaching Methodology

Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.

Contact Hours

Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1 contact hour. No partial credit will be granted.


Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574 and the Georgia Board of Nursing, Provider Number 50-574.

According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), contact hours earned in this activity are considered GI Specific for the purpose of recertification through the ABCGN.

This program is acceptable for surgical technologist recertification by the National Center for Competency Testing.

  1. Successful completion: Participants must complete the entire program, register, achieve a score of 80% on the post-test and submit required documentation.
  2. Conflict of interest: Planners disclose no conflict of interest. The speakers disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias.
  1. Commercial company support: Fees are underwritten by education funding provided by Cantel Medical.
  2. Non-commercial company support: None.
  3. Alternative/Complementary therapy: None.
Certificate Issue / Replacement

Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.

Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.

Guide to Study

Detailed instructions for completing this eLearning activity

The following steps will assist you in your successful completion of this eLearning Activity.

  1. Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
  2. First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
  3. Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
  4. Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
  5. Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
  6. Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
  7. Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
  8. If you encounter any technical problems during this eLearning activity, please contact us.

Recorded Webinar Video

Suggested Readings

Abild, N., Bulut, O. (2013). Endoscopic tattooing of small bowel by double – balloon endoscopy. Journal of Digestive Endoscopy, 4(2), 49-51

Acuna SA, et. al., Preoperative localization of colorectal cancer: a systematic review and meta-analysis. Surg. Endosc. 2017; 31:2366-2379.

Arteaga-Gonzalez, I., et al (2006). The Use of Preoperative Endoscopic Tattooing in
Laparoscopic Colorectal Cancer Surgery for Endoscopically Advanced Tumors: A Prospective Comparative Clinical Study, World Journal of Surgery.  30: 605-611.

ASGE Technology Committee. (2010). Technology Status Evaluation Report: Endoscopic tattooing. Gastrointestinal Endoscopy, 72(4), 681-5. doi: 10.1016/j.gie.2010.06.020

Aslanian H. R., et. al. 2013. Nurse observation during colonoscopy increases polyp detection: a randomized prospective study. Retrieved 12/30/2019 from:

Bartels, S.A.L. (2013). Laparoscopic colorectal surgery: Beyond the short-term effects. (p. 66-79). PhD Thesis. Retrieved from

Ferlitsch M, Moss A, Hassan C, et al.  Colorectal polypectomy and endoscopic mucosal resection (EMR): ESGE Clinical Guideline. 2017

Luigiano, C., Ferrara, F., Morace, C., Mangiavillano, B., Fabbri, C., Cennamo, V., Bassi, M., Virgilio, C., & Consolo, P. (2012). Endoscopic tattooing of gastrointestinal and pancreatic lesions. Advances in Therapy, 29(10), 864–873. doi:10.1007/s12325-012-0056-2.

Pohl H, et al. Incomplete Polyp Resection During Colonoscopy—Results of the Complete Adenoma Resection (CARE) Study. GASTROENTEROLOGY 2013;144:74–80

Prescott A, et al: . Colonoscopic Tattoo Placement for Colorectal Neoplasms: Current Practice and Patient Outcomes at Large Cancer Center. Northwestern University, Chicago, Illinois, United States. 2018.

Rex, D. (2015). Driving patient safety with endoscopic tattooing. Gastroenterology & Endoscopy News, 66. Retrieved from



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