We present a multimodal approach in one session for multiple gastric lesions in a
76-year-old patient.He underwent a gastroscopy with diagnosis of four gastric lesions:
one at gastric angulus (IIa-IIc) of 30 mm, one in the antrum involving the pyloric
canal (0-IIa) of 25 mm and two sessile lesions (0-Is according to Paris) of 12 mm
at posterior wall and great curvature. It was scheduled double ESD for larger lesions
and double cap-EMR for minor lesions. Patient was discharged after 48 hours without
complications. Histology was respectively: well differentiated EGC, TV adenoma with
HGD and two TV adenoma with LGD.