Home Sitemap
Contact Us Disclaimer
Allergy / Immunology Autopsy Bariatrics Cardiovascular / Pulmonary Chiropractic Consult - History and Phy. Cosmetic / Plastic Surgery Dentistry Dermatology Diets and Nutritions Discharge Summary Emergency Room Reports Endocrinology ENT - Otolaryngology Gastroenterology General Medicine Hematology - Oncology Hospice - Palliative Care IME-QME-Work Comp etc. Lab Medicine - Pathology Letters Nephrology Neurology Neurosurgery Obstetrics / Gynecology Office Notes Ophthalmology Orthopedic Pain Management Pediatrics - Neonatal Physical Medicine - Rehab Podiatry Psychiatry / Psychology Radiology Rheumatology Sleep Medicine SOAP / Chart / Progress Notes Speech - Language Surgery Urology
Abdominal Abscess I&D Abdominal Exploration Abdominal Pain - Consult Abscess Excision Admission History & Physical - Nausea Adrenalectomy & Umbilical Hernia Repair Air Under Diaphragm - Consult Appendectomy Appendectomy - 1 Appendectomy - Laparoscopic Appendectomy Laparoscopic Appendectomy Laparoscopic - 1 Barium Enema Barium Swallow Study & Speech Evaluation Barium Swallow Study & Speech Evaluation - 1 Barium Swallow Study Evaluation Barium Swallow Study Evaluation - 1 BICAP Cautery Blood In Toilet Blood per Rectum C. Diff Colitis Consult Cecal Polyp Resection Cholangiocarcinoma Consult Cholecystectomy - Open Cholecystectomy & Cholangiogram. Cholecystectomy Laparoscopic Cholecystitis - Discharge Summary Cholecystostomy Tube Placement Clostridium Difficile Colitis Followup Colon Cancer Consult Colon Cancer Screening Colon Polyps - Genetic Counseling Colonoscopy Colonoscopy - 1 Colonoscopy - 10 Colonoscopy - 11 Colonoscopy - 12 Colonoscopy - 13 Colonoscopy - 14 Colonoscopy - 15 Colonoscopy - 16 Colonoscopy - 17 Colonoscopy - 18 Colonoscopy - 19 Colonoscopy - 2 Colonoscopy - 20 Colonoscopy - 21 Colonoscopy - 22 Colonoscopy - 3 Colonoscopy - 4 Colonoscopy - 5 Colonoscopy - 6 Colonoscopy - 7 Colonoscopy - 8 Colonoscopy - 9 Colonoscopy & Esophagogastroduodenoscopy Colonoscopy & Polypectomy - 1 Colonoscopy & Polypectomy - 2 Colonoscopy & Polypectomy - 3 Colonoscopy Template - 1 Colonoscopy Template - 2 Colonoscopy Template - 3 Colonoscopy Template - 4 Colonoscopy Template - 5 Colonoscopy with Biopsy Colonoscopy with Biopsy - 1 Colonoscopy with Biopsy - 2 Colonoscopy with Biopsy - 3 Colonoscopy with Biopsy - 4 Colonoscopy With Photos Colostomy Failure Constipation - 1 Consult - Laparoscopic Cholecystectomy Consult - Multiple Colon Polyps Consult - Rectal Bleeding Consult - Screening Colonoscopy Consult for Colostomy Reversal CT Abdomen & Pelvis CT Abdomen & Pelvis - 1 CT Abdomen & Pelvis - 10 CT Abdomen & Pelvis - 11 CT Abdomen & Pelvis - 2 CT Abdomen & Pelvis - 3 CT Abdomen & Pelvis - 4 CT Abdomen & Pelvis - 5 CT Abdomen & Pelvis - 6 CT Abdomen & Pelvis - 7 CT Abdomen & Pelvis - 8 CT Abdomen & Pelvis - 9 CT Abdomen & Pelvis - OB-GYN CT Scan of Abdomen & Pelvis with Contrast Deglutition Study - Modified Barium swallow Discharge Summary - 10 Discharge Summary - Cholelithiasis Diverticulectomy & Laparotomy Dysphagia & Hematemesis EGD - 1 EGD - 2 EGD - Colonoscopy - Polypectomy EGD & Colonoscopy EGD & PEG Tube Placement EGD Template - 1 EGD Template - 2 EGD Template - 3 EGD Template - 4 EGD with Biopsy - 1 EGD with Biopsy - 2 EGD with Dilation EGD With Photos & Biopsies. Endoscopy Endoscopy - 1 Endoscopy - 2 Endoscopy - 3 Endoscopy - 4 Endoscopy Template Endoscopy With Biopsy Endovascular Abdominal Aortic Aneurysm Repair Epigastric Herniorrhaphy ER Report - Stomach Pain ERCP Esophagogastrectomy, Jejunostomy, & Chest Tubes Esophagogastroduodenoscopy Esophagogastroduodenoscopy - 1 Esophagogastroduodenoscopy - 10 Esophagogastroduodenoscopy - 11 Esophagogastroduodenoscopy - 12 Esophagogastroduodenoscopy - 13 Esophagogastroduodenoscopy - 2 Esophagogastroduodenoscopy - 3 Esophagogastroduodenoscopy - 4 Esophagogastroduodenoscopy - 5 Esophagogastroduodenoscopy - 6 Esophagogastroduodenoscopy - 7 Esophagogastroduodenoscopy - 8 Esophagogastroduodenoscopy - 9 Esophagogastroduodenoscopy & Gastrostomy Tube Insertion Esophagogastroduodenoscopy with Biopsies Esophagogastroduodenoscopy with Biopsies - 1 Esophagogastroduodenoscopy with Biopsies -2 Esophagoscopy & Foreign Body Removal Esophagoscopy & Foreign Body Removal - 1 Exploratory Laparotomy Exploratory Laparotomy - 1 Exploratory Laparotomy & Colon Resection Exploratory Laparotomy & Hernia Repair Flex Sig Flex Sig - 1 Flex Sig - 2 Flex Sig - 3 Foul-Smelling Urine Fundoplication & Gastrostomy Followup Gagging - 3-year-old Gastroenteritis - Discharge Summary Gastroenterology - Letter Gastrointestinal Bleed - Discharge Summary Gastrointestinal Bleed - ER Visit Gastroscopy Gastroscopy - 1 Gastroscopy - 2 Gastroscopy - 3 Gastrostomy GI Bleed - Discharge Summary GI Consultation - 1 GI Consultation - 2 GI Consultation - 3 GI Consultation - 4 Hemicolectomy Hepatic Encephalopathy Hepatobiliary Scan Ischemic Cecum - Consult Ischial Ulcer Debridement Juxtarenal Abdominal Aortic Aneurysm Repair Lap Chole - Discharge Summary Laparoscopic Appendectomy Laparoscopic Appendectomy - 1 Laparoscopic Appendectomy - 2 Laparoscopic Appendectomy - 3 Laparoscopic Appendectomy - 4 Laparoscopic Appendectomy - 5 Laparoscopic Cholecystectomy Laparoscopic Cholecystectomy - 1 Laparoscopic Cholecystectomy - 10 Laparoscopic Cholecystectomy - 2 Laparoscopic Cholecystectomy - 3 Laparoscopic Cholecystectomy - 4 Laparoscopic Cholecystectomy - 5 Laparoscopic Cholecystectomy - 6 Laparoscopic Cholecystectomy - 7 Laparoscopic Cholecystectomy - 8 Laparoscopic Cholecystectomy - 9 Laparoscopic Cholecystectomy & Appendectomy Laparoscopic Cholecystectomy & Cholangiogram Laparoscopic Cholecystectomy & Cholangiogram - 1 Laparoscopic Cholecystectomy & Liver Cyst Excision Laparoscopic Gastric Bypass Laparoscopic Gastric Bypass - 1 Laparoscopy & Laparoscopic Appendectomy Laparoscopy & Sigmoidoscopy Laparoscopy, Laparotomy, & Cholecystectomy Liver Biopsy Lower Quadrant Pain Melena - ICU Followup Multiple Medical Problems - Discharge Summary Nissen Fundoplication Open Cholecystectomy Pancreatic Mass - Discharge Summary Paracentesis Paracentesis - Ultrasound-Guided PEG Tube Postop Transanal Excision Proctitis & Proctocolitis Progress Note - Liver Cirrhosis Rectal Bleeding - 1-year-old Rectal Bleeding - Consult Sigmoidoscopy - 1 Small Bowel Obstruction SOAP - Cholecystitis Stamm Gastrostomy Tube Placement Status Post Liver Transplant Surgical Closure of Gastrostomy Thoracotomy & Esophageal Exploration Ttriple-Lumen Central Line Ultrasound - Abdomen Ultrasound - Abdomen - 1 Umbilical Hernia Repair Umbilical Hernia Repair - 1 Upper Endoscopy Upper Endoscopy - Foreign Body Removal Viral Gastroenteritis Wound Check - Status Post APR
4996 Samples in 40 Types as on 1/21/2021

Medical Specialty:
Gastroenterology

Sample Name: Surgical Closure of Gastrostomy


Description: Closure of gastrostomy placed due to feeding difficulties.
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Gastrostomy (gastrocutaneous fistula).

POSTOPERATIVE DIAGNOSIS: Gastrostomy (gastrocutaneous fistula).

OPERATION PERFORMED: Surgical closure of gastrostomy.

ANESTHESIA: General.

INDICATIONS: This 1-year-old child had a gastrostomy placed due to feeding difficulties. Since then, he has reached a point where he is now eating completely by mouth and no longer needed the gastrostomy. The tube was, therefore, removed, but the tract has not shown signs of spontaneous closure. He, therefore, comes to the operating room today for surgical closure of his gastrostomy.

OPERATIVE PROCEDURE: After the induction of general anesthetic, the abdomen was prepped and draped in the usual manner. An elliptical incision was made around the gastrostomy site and carried down through skin and subcutaneous tissue with sharp dissection. The tract and the stomach were freed. Stay sutures were then placed on either side of the tract. The tract was amputated. The intervening stomach was then closed with interrupted #4-0 Lembert, Nurolon sutures. The fascia was then closed over the stomach using #3-0 Vicryl sutures. The skin was closed with #5-0 subcuticular Monocryl. A dressing was applied, and the child was awakened and taken to the recovery room in satisfactory condition.
Go Back to Gastroenterology
Keywords: gastroenterology, gastrocutaneous fistula, nurolon, closure of gastrostomy, feeding difficulties, surgical closure, gastrostomy,