Will you recommend endoscopic resection for this ampullary duodenal LST with low grade and focal high grade dysplasia and a small periampullary duodenal divericula? MRCP and EUS did not show any intraductal extension. The patient has no symptoms, no lab test abnormalities. He is 65 year-old with severe coronary disease and AF (under aspirin and apixaban medication). Will you recommend Whipple?