We started with post-EMR margin ablation and observed improved recurrence rates. Then we asked ourselves: why not also treat the base prophylactically? In Montreal, we’ve been using a HybridAPC technique for two years in over 300 patients—with recurrence rates of 1–2% and very low complication rates. It’s crucial that the resection margins are clean. The HybridAPC technique allows for precise and effective treatment of both the base and margins. Only in cases where muscularis propria is exposed do we refrain from ablation. The results are compelling.
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