By The University of Chicago Department of Pathology
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- These specimens are often from patients who are undergoing a Roux-en-y or gastric bypass surgery, and can be cut fresh.
- Remove the portion of stomach from the laparoscopic bag (if present).
- Measure the specimen in three dimensions including the surgical staple line.
- Open specimen adjacent to staple line.
- Look for gross lesions; ulcers, masses, plaques, etc.
- If no gross lesions are identified, then one full-thickness representative section should be submitted, showing mucosa through serosa.
- If lesions are identified, contact the attending pathologist, take photographs, and section according to the protocol for gastric malignancies (see Stomach (neoplastic) page).