 Barretts esophagus BE is a complication of gastroesophageal reflux disease in which the normal squamous lining of the esophagus is replaced by specialized columnar epithelium.1 Approximately 5-10 of patients diagnosed with BE are thought to be at risk of developing esophageal adenocarcinoma.2 Patients with high-grade dysplasia HGD on biopsy are at the greatest cancer risk3. EMR is being performed clinically in our Barretts Esophagus Unit on a regular basis during endoscopy for patients with Barretts Esophagus andor early esophageal adenocarcinoma. There are two predominant endoscopic mucosal resection EMR techniques exist using FDA approved devices - the EMR cap method using a transparent capsnare combination and the endoscopic variceal ligation method using a band ligatorsnare combination to resect tissue. 