{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:20:48Z","timestamp":1780474848612,"version":"3.54.1"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>\n            Background\u2002We aimed to evaluate the safety and technical success of an easy-to-use technique that applies underwater cap suction pseudopolyp formation to facilitate the resection of flat lesions or those at the appendiceal orifice or ileocecal valve.<\/jats:p><jats:p>\n            Methods\u2002We retrospectively analyzed a register of consecutive cap suction underwater endoscopic mucosal resection (CAP-UEMR) procedures performed at two centers between September 2020 and December 2021.\u200aProcedures were performed using a cone-shaped cap, extending 7\u200amm from the endoscope tip, to suction the lesion while submerged underwater, followed by underwater snare resection. Our primary end point was technical success, defined as macroscopic complete resection.<\/jats:p><jats:p>\n            Results\u2002We treated 83 lesions (median size 20 mm; interquartile range [IQR] 15\u201330\u200amm) with CAP-UEMR: 64 depressed or flat lesions (18 previously manipulated, 9 with difficult access), 11 from the appendix, and 8 from the ileocecal valve. Technical success was 100\u200a%. There were seven intraprocedural bleedings and two delayed bleedings, all managed endoscopically. No perforations or other complications occurred. Among the 64 lesions with follow-up colonoscopy, only one recurrence was detected, which was treated endoscopically.<\/jats:p><jats:p>\n            Conclusions\u2002CAP-UEMR was a safe and effective technique for removing nonpolypoid colorectal lesions, including those arising from the appendiceal orifice or ileocecal valve.<\/jats:p>","DOI":"10.1055\/a-2115-7797","type":"journal-article","created":{"date-parts":[[2023,6,23]],"date-time":"2023-06-23T01:08:59Z","timestamp":1687482539000},"page":"1045-1050","source":"Crossref","is-referenced-by-count":10,"title":["Underwater cap-suction pseudopolyp formation for endoscopic mucosal resection: a simple technique for treating flat, appendiceal orifice or ileocecal valve colorectal lesions"],"prefix":"10.1055","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8411-4993","authenticated-orcid":false,"given":"Hugo","family":"Uchima","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"},{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Calm","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Mu\u00f1oz-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"},{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noem\u00ed","family":"Caballero","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merc\u00e9","family":"Rosinach","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Mar\u00edn","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Col\u00e1n-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5345-2516","authenticated-orcid":false,"given":"Ignacio","family":"Iborra","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2139-7321","authenticated-orcid":false,"given":"Edgar","family":"Castillo-Regalado","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roc\u00edo","family":"Temi\u00f1o","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Mata","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rom\u00e1n","family":"Turr\u00f3","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Espin\u00f3s","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Teknon Medical Center, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicente","family":"Moreno De Vega","sequence":"additional","affiliation":[{"name":"Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias I Pujol, Badalona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9739-4998","authenticated-orcid":false,"given":"Maria","family":"Pellis\u00e9","sequence":"additional","affiliation":[{"name":"Gastroenterology, Gastroenterology Department, Hospital Cl\u00ednic de Barcelona, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Hep\u00e1ticas y Digestivas (CIBERehd), Institut d\u2019Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1055\/a-1726-9144","article-title":"Impact of surgical versus endoscopic management of complex nonmalignant polyps in a colorectal cancer screening program","volume":"54","author":"M Buskermolen","year":"2022","journal-title":"Endoscopy"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/j.gie.2016.03.1508","article-title":"EMR should be the first-line treatment for large laterally spreading colorectal lesions","volume":"84","author":"E Y Lee","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1053\/j.gastro.2011.02.062","article-title":"Endoscopic mucosal resection outcomes and prediction of submucosal cancer from advanced colonic mucosal neoplasia","volume":"140","author":"A 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