1. A 50-year-old Caucasian woman with a BMI of 50 kg/m 2 undergoes preoperative tests and is…

1. A 50-year-old Caucasian woman with a BMI of 50 kg/m2 undergoes preoperative tests and is scheduled for a laparoscopic Roux-en-Y gastric bypass (LRYGB). During the initial diagnostic laparoscopy, a smooth 1-cm nodular lesion is visible on the distal greater curvature of the stomach, 10 cm proximal to pylorus. Which of the following is the next BEST step in management? A. Do a distal resection of stomach. B. Do a sleeve gastrectomy. C. Excise the lesion and wait for the frozen section. D. Do an RYGB after taking biopsy of the mass and investigate postoperatively.

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