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Etto (or Eto) is a slang which is similar to Ano, and is the equivalent to saying "ummm..." in English. Commonly used to create time while thinking about what one wants to say. Typically I have heard "Ano" used more at the beginning of a sentence, or to let someone know you are speaking to them ( as in "ummm excuse me..." if you wanted to ask a question of someone), but apparently etto is used as well.

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Q: What does Etto mean in Japanese?
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