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Triage

1. These specimens are often from patients who are undergoing a Roux-en-y or gastric bypass surgery, and can be cut fresh.
2. Remove the portion of stomach from the laparoscopic bag (if present).
3. Measure the specimen in three dimensions including the surgical staple line.
4. Open specimen adjacent to staple line.
5. Look for gross lesions; ulcers, masses, plaques, etc.

Gross

1. If no gross lesions are identified, then one full-thickness representative section should be submitted, showing mucosa through serosa.
2. If lesions are identified, contact the attending pathologist, take photographs, and section according to the protocol for gastric malignancies (see Stomach (neoplastic) page).