Abstract

Laparoscopic sleeve gastrectomy (LSG) as a primary weight loss procedure has increased in popularity and is now the most frequently performed bariatric operation for weight loss in the United States. As part of the procedure, the resected portion of the stomach is routinely sent to pathology for analysis. In a program that routinely performs pre-operative endoscopy with biopsies on all patients; we question the utility of sending all specimens to pathology after surgery. We hypothesized that there would be a high concordance of microscopic pathological findings between endoscopic and surgical specimens, and therefore pathologic examination of all post-surgical specimens may be redundant and unnecessarily increase costs.

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