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The Wick Sign After Cold Snare Polypectomy: A Case Report.
Gregory T Brennan1, Gregory Albers2
1Gastroenterology, Texas Digestive Disease Consultants, Dallas, USA.
Cureus
|June 17, 2020
Summary
Cold snare polypectomy is a common method for removing small colorectal polyps. A specific mucosal defect, the wick sign, may appear after this procedure but does not indicate residual polyp or complications.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Cold snare polypectomy (CSP) is the preferred method for resecting small colorectal polyps.
- Endoscopic surveillance is crucial for detecting and managing colorectal polyps.
Observation:
- A distinct mucosal defect, termed the 'wick sign,' can be observed following CSP.
- This sign is characterized by a specific visual appearance of the mucosal defect.
Findings:
- The wick sign does not represent residual polyp tissue after successful resection.
- The presence of the wick sign is not associated with adverse outcomes or complications.
Implications:
- Accurate identification of the wick sign is essential for endoscopists.
- Recognizing the wick sign prevents unnecessary interventions and reassurances patients.
- Understanding CSP artifacts improves endoscopic procedural accuracy and patient management.
