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One of the fundamental principles of effective colorectal endoscopic mucosal resection (EMR) is to resect all visible neoplastic tissue. However, some complex polyps harbor islands that are difficult to resect mechanically with a snare due to flat morphology or submucosal fibrosis. Ablative techniques such as argon plasma coagulation have been used to destroy these islands, but they are not highly effective. Investigators evaluated outcomes with hot avulsion used to treat residual fibrotic, flat, or snare-resistant tissue after polyp snaring resection. Hot avulsion in EMR generally uses a low-voltage current to mitigate the risk of deep thermal injury; the tissue is grasped with the forceps and pulled off simultaneously with the application…