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Median lesion size was 12mm [IQR 10-16mm]. Twenty-four cases were taken endoscopic biopsy in prior hospital and observed biopsy scar. En bloc resection rate was 97%. Ro resection rate was 83%. Mean total procedure time was 17 ± 12min. And there was an only one case of complication, intra-procedure bleeding that was controllable endoscopically. PI-UEMR might be very useful and safe technique of endoscopic resection for SDET including relatively large lesions. PI-UEMR might be very useful and safe technique of endoscopic resection for SD