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Median size of lesions was 13.5 mm. There were 22 failed EFTR attempts. Pooled overall R0 resection rate was 82 % (95 % CI 75, 89). The pooled overall FTR rate was 83 % (95 % CI 77, 89). The pooled overall enbloc resection rate was 95 (95 % CI 92, 96). The pooled estimates for perforation and bleeding were less then 0.1 % and 2 %, respectively. Following EFTR, a total of 110 patients underwent surgery for any reason [pooled rate 7 % (95 % 2, 14). The pooled rates for post-EFTR surgery due to invasive cancer, for non-curative endoscopic r