Esophagoscopy

NY Presbyterian Hospital - Cornell
Operative Report

Name: KO, KANG WEI
MRN: 02492702
ATT:
DICT: Brendon Stiles, M.D.
Admit Date:04/23/2012
Discharge Date:
Procedure Date:05/17/2012
SURGEON: Brendon Stiles, M.D.

CONSULTANT:
ASSISTANT:
PREOPERATIVE DIAGNOSIS: Bariatric surgery status post division of stomach with patient left in discontinuity.
POSTOPERATIVE DIAGNOSIS:
OPERATION: Esophagoscopy.
ANESTHESIA: Conscious sedation.
ANESTHESIOLOGIST: DR. NATALIA VASCHIA

BRIEF HISTORY:
Mr. Ko is a young man who had bariatric procedure which was complicated by postoperative bleeding necessitating division of his gastric pouch. He had been left in discontinuity. I had previously seen him and placed an esophagostomy drainage tube. I was asked to re-evaluate him today for quality of drainage and to make sure that his proximal gastric pouch was intact. The risks and benefits of the procedure were explained in detail to the patient. Written consent was obtained.

DESCRIPTION OF PROCEDURE:
The patient was brought to the operating room where conscious sedation was induced. He was continuously hemodynamically monitored. Once he was adequately sedated, a GIF upper endoscope was advanced through his oropharynx and down his esophagus. We were able to easily visualize the NG tube and the esophagostomy. These were fine. I followed the tube down to the distal esophagus and into the gastric pouch. The gastric pouch seemed to hold air fine and had no evidence of a leak. It looked healthy. I advanced the tube down to approximately 40 cm just above the GE junction. The pouch was exploited and the scope was carefully pulled back. I performed the entire
procedure.

DD:05/18/2012
DT:05/18/2012
Job:931328
Message Control: 931328

BRENDON STILES
ELECTRONICALLY SIGNED 5/26/2012 6:25