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Application of carbon nanoparticles to mark locations for re-inspection after colonic polypectomy

Abstract

Background

Endoscopic surgery has been a novel treatment for colon polyps or even early colorectal cancer. However, the exact re-inspection after colonic polypectomy to detect the scar from polyp removal was difficult to be performed. In our previous study, colon cancer tattooed with carbon nanoparticles was easily found during surgery. We speculated that carbon nanoparticles could be used in exact re-inspection after colonic polypectomy.

Objective

To evaluate the efficiency of carbon nanoparticles for re-inspection after colonic polypectomy.

Methods

Twenty-four patients with precancerous lesion or early colorectal cancer that underwent colonoscopic polypectomy between October 2012 and December 2013 were enrolled in the study. Participants were divided into two groups. Group A patients were injected with carbon nanoparticles beneath the lesion sites 3 cm. Group B patients were not treated with nanoparticles. All patients underwent quarterly colonoscopies. Once the colonoscope was withdrawn from the site last time record, the time spent searching for lesions was recorded.

Results

There were no significant differences between general conditions or lesion pathology between the groups. The time spent searching for lesions in Group B was much longer than that in Group A (13.67 ± 8.07 vs. 1.21 ± 0.39 min, P < 0.001). Carbon nanoparticles marked lesions for 12 months in some patients, and no adverse reactions were reported.

Limitations

It was a small sample study.

Conclusions

Tattooing lesions using carbon nanoparticles suspensions is safe. The durability of dye enables lesions to be re-checked by colonoscopy or laparoscopy for up to 1 year.

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Fig. 1

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Acknowledgments

Rong Wang is supported by the Key Program of Fujian Provincial Department of Science and Technology (Grant No. 2014I0005) and supported by the General Program of Medical Health and Scientific Research Foundation of Nanjing Military Command (Grant No. MS131); Yu Wang is supported by the Key Project of Nanjing Military Command (Grant No. 14ZX25); Wen Wang is supported by the External Cooperation Project of Medical Health and Scientific Research Foundation of Nanjing Military Command (Grant No. 2015I0013).

Author information

Correspondence to Wen Wang.

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Disclosures

Rong Wang, Yu Wang, Dazhou Li, Li Yu, Gang Liu, Jun Ma, Wen Wang have no conflicts of interest or financial ties to disclose.

Additional information

Rong Wang and Yu Wang have contributed equally to this article.

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Wang, R., Wang, Y., Li, D. et al. Application of carbon nanoparticles to mark locations for re-inspection after colonic polypectomy. Surg Endosc 30, 1530–1533 (2016). https://doi.org/10.1007/s00464-015-4367-7

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Keywords

  • Carbon nanoparticles
  • Colonoscopic polypectomy
  • Early colorectal cancer
  • Tattoo