We present the case of a 70-year-old male patient with cardiovascular comorbidities: hypertension, chronic heart failure class III NYHA, mild biliary pancreatitis in the past, type II diabetes on oral antidiabetic medication, hepatic hemangiomas, and chronic kidney disease undergoing staging. The patient was evaluated endoscopically, revealing a nodular gastritis with an elevated lesion located in the antrum on the greater curvature, from which biopsies were taken. The histopathological result was compatible with complete intestinal metaplasia with mild epithelial dysplasia, Helicobacter Pylori negative.