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. 2022 May 13;10(5):E694–E702. doi: 10.1055/a-1789-0548

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 2 — Advantages of the pocket creation method (PCM). a Endoscopic view showing the well-visualized submucosa in the pocket. The conical transparent hood naturally provides both traction and counter traction to stretch the submucosal tissue. b Vertical approach against the lesion. c The PCM changes a vertical to a tangential approach by creating the pocket. The fixed tip of the endoscope is less influenced by cardiopulmonary movement.