“Under water EMR of a sessile JNET 2A lesion on the anal side(head on view surface) of the ileocecal valve. uEMR is possible because of the heat sink effect of water and the fact that colonic wall is not stretched out hence lower risk of transmural burn-that would pose risk of perforation or post polypectomy syndrome. It is more tolerable than submucosal lift. Lesions also float and shrink allowing en-bloc capture and resection of lesions that would otherwise require piecemeal resection.” – Dr. Alex Muturi (colorectal surgeon)