Question: A 60-year-old man complaining of recurrent melena for > 2 months, accompanied by fatigue and anemia, was admitted to our gastroenterology ward. He denied experiencing hematemesis, abdominal pain, fever, osteodynia, or arthralgia. His medical history included a 6-year history of alcoholic hepatocirrhosis and type 2 diabetes mellitus. Colonoscopy found no evidence of hemorrhage. However, gastroduodenoscopy showed multiple polypoid lesions in the duodenum (Figure A, B). An abdominal computed tomography (CT) scan was performed (Figure C).