{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:51:17Z","timestamp":1791348677183,"version":"4.3.1"},"reference-count":4,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2027,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Localized transient whitening of the gastric mucosa after water\u2010jet flushing through the auxiliary water channel is rarely described. We report a 49\u2010year\u2010old man who underwent endoscopic submucosal dissection for a 5\u2010mm gastric\u2010type neoplasm on the greater curvature of the lower gastric body. During washing of adjacent non\u2010lesional mucosa, strong auxiliary water\u2010channel flushing for approximately 2\u20135 s was followed by a focal whitish linear change confined to the flushed area, which became evident approximately 10 s after flushing was stopped and persisted for approximately 30 s before resolving spontaneously, without symptoms or adverse events. Similar changes were observed on the following day and 84 days after resection, but not under the recorded conditions of weaker auxiliary water\u2010channel flushing or manual instrument\u2010channel spraying. When a localized whitish change is observed after strong auxiliary water\u2010channel flushing, brief observation for spontaneous resolution may help distinguish this transient finding from a fixed mucosal lesion.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration<\/jats:bold>\n                    : N\/A\n                  <\/jats:p>","DOI":"10.1002\/deo2.70448","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:27:49Z","timestamp":1791347269000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transient Whitish Change in the Gastric Mucosa Induced by Water\u2010Jet Flushing"],"prefix":"10.1002","volume":"7","author":[{"given":"Hidetaka","family":"Hamamoto","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Caress Memorial Hospital Hokkaido Japan"},{"name":"Department of Gastroenterology Sendai Kosei Hospital Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Soma Central Hospital Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Sendai Kosei Hospital Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/deo2.192"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000796"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.14337"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365528909092233"}],"container-title":["DEN Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/deo2.70448","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/deo2.70448","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/deo2.70448","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T04:27:49Z","timestamp":1791347269000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/deo2.70448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,6]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2027,4]]}},"alternative-id":["10.1002\/deo2.70448"],"URL":"https:\/\/doi.org\/10.1002\/deo2.70448","archive":["Portico"],"relation":{},"ISSN":["2692-4609","2692-4609"],"issn-type":[{"value":"2692-4609","type":"print"},{"value":"2692-4609","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,6]]},"assertion":[{"value":"2026-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70448"}}