Thank you so much for your assistance. No the compression of trachea was not documented.
PRE-OP DIAGNOSIS: retained proximal gastric fundus
POST-OP DIAGNOSIS: Same, retained foodstuffs distal esophagus and proximal stomach
PROCEDURE: Intraoperative diagnostic EGD
PROCEDURE: In the operating room she is under general anesthetic and the lubricated gastroscope was introduced behind the tongue finding the endotracheal tube anteriorly and arytenoid cartilage posteriorly, the scope is advanced posterolaterally into the cricopharyngeal inlet into the esophagus and stomach. Stomach is unremarkable although narrowed as a tube, slowly withdrawn and on the left lateral and posterior lateral aspect the retained fundus is identified. This has a length of about 5 cm and as the scope was withdrawn we visualize Z line without significant elevation, and anatomically with laparoscope, recognize externally at the esophagogastric junction. Dr. completes release of the esophageal hiatus and its closure, dictated separately. The scope was left in place with the light off, and then when appropriate, illuminated again and monitored so that the redundant fundus could be amputated from the intra-abdominal side, dictated separately. At conclusion the stomach is deflated, no narrowing at the esophagogastric junction or proximal stomach, nor bleeding and the scope was withdrawn.