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      The Wick Sign After Cold Snare Polypectomy: A Case Report

      case-report
      1 , , 2
      ,
      Cureus
      Cureus
      colonoscopy complications, polypectomy, colonoscopy, gastroenterology

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          Abstract

          Cold snare polypectomy is now the preferred technique for resection of most small colorectal polyps. Endoscopists should be aware of a particular mucosal defect after cold snare polypectomy called the wick sign. The wick sign does not represent residual polyp and is not associated with adverse outcomes. Accurate identification is important to prevent unnecessary intervention. A case is presented here with characteristic findings after polypectomy.

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          Most cited references3

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          Endoscopic Removal of Colorectal Lesions—Recommendations by the US Multi-Society Task Force on Colorectal Cancer

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            Characterization and significance of protrusions in the mucosal defect after cold snare polypectomy.

            Cold snare polypectomy (CSP) is widely practiced; however, the endoscopic features of the CSP mucosal defect have not been studied. In particular, protrusions within the cold snare defect (CSDPs) may create concern for residual polyp. The frequency and constituents of this phenomenon are unknown.
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              How we resect colorectal polyps <20 mm in size

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                12 May 2020
                May 2020
                : 12
                : 5
                : e8073
                Affiliations
                [1 ] Gastroenterology, Texas Digestive Disease Consultants, Dallas, USA
                [2 ] Gastroenterology, University of California Irvine Health, Orange, USA
                Author notes
                Gregory T. Brennan gbrennan@ 123456tddctx.com
                Article
                10.7759/cureus.8073
                7290115
                aee33d26-cba3-4ed5-b3d5-6f9aeec7d97a
                Copyright © 2020, Brennan et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 1 May 2020
                : 12 May 2020
                Categories
                Internal Medicine
                Medical Education
                Gastroenterology

                colonoscopy complications,polypectomy,colonoscopy,gastroenterology

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