Response

We thank Dr Despott et al1 for their interests in our recent publication, "Water-pocket endoscopic submucosal dissection for superficial gastric neoplasms."2 We agree with their descriptive term, "saline-pocket endoscopic submucosal dissection (SP-ESD)." As they pointed out, our procedure is fundamentally a pocket-creation method (PCM)3-6 with saline solution. Water-pocket endoscopic submucosal dissection (WP-ESD) with the use of saline solution also has the disadvantages of impairing the endoscopic view because of the bubbles generated by diathermy.

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