Figure 1 (A) 3 cm long Barrett's oesophagus with a nodule proven as intramucosal cancer (IMC). The monofilament snare was pressed firmly around the Barrett's mucosa with the IMC. As the snare was closed, gentle aspiration was applied to draw the tumour bearing mucosa into the snare. (B) The Barrett's mucosa with IMC had been caught by the snare. (C) The lesion was resected by electrocautery. (D) Further resection of the Barrett's oesophagus was performed using the monofilament snare until the entire Barrett's epithelium had been completely resected. (E) Follow up endoscopy 12 months later. The Barrett's epithelium was completely replaced by new squamous cell epithelium.