How would you manage a gastric MALT patient with anemia and peri-gastric and abdominal retrocaval nodal involvement?  

Of course, I would first want to know if the disease was H. pylori+. Studies have shown that involved perigastric lymph nodes and deep invasion of the gastric wall are associated with a lower chance of achieving a complete response with triple therapy, but in most patients with gastric MALT (a very ...