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greetings uh let me show you a case of a subtle polyp hiding behind a fold as we are coming out of this cecum the area above the electrical valve that first segment looked okay but when you take time and go behind that fold now you see a polyp and once you see that you rotate the scope try to bring it down and when you bring it down you can actually resect it and before you resect it you want to define the poly better and this looks like a subtle flat lesion to a paris classification with a little bit of mucus and in distinct borders and when we do the narrowband imaging you will find that the lesion has characteristics suggestive of a cell serrated adenoma rather than a typical shoe blur adenoma and we decided to resect this lesion using endoscopic mucosal resection and we will discuss this later thank you