Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: gastric adenocarcinoma major surgical or invasive procedure: s/p subtotal gastrectomy, d2 lymphadenectomy, cbd exploration, and choledochojejunostomy history of present illness: the patient is a 72 yo m, who initially presented w/ obstructing choledocholithiasis (cbd 2.0 cm), s/p ercp + stent on performed by . during the procedure, the patient was incidentally found to have a large antral ulcerated tumor on ercp. biopsy was consistent with gastric (antral) adenocarinoma. he is now presenting to for post-operative monitoring and management after undergoing subtotal gastrectomy, d2 lymphadenectomy, cbd exploration, and choledochojejunostomy. found densely adherent abdomen with difficult lysis of adhesions. gastric adenocardinoma in antrum, distal margin negative on frozen section. distal stomach, gallbladder, cbd stones sent to pathology. the case ~12 hours. ebl 2700. received 6000 crystalloid, 1000 albumin, 3 units prbcs. uop 500. abx cefazolin 2g x4?, flagyl. initially got metoprolol, later required neo briefly. . on arrival to , pt. on ac 600/14/5/40%, satting 93%. sedation with fentanyl 75, midaz 2. no pressor requirement. pt. was agitated, fentanyl increased to 100. past medical history: choledocholithiasis s/p ercp + stent , copd, varicose veins, ventral hernia repair in social history: born in . worked as a cleaning person in a factory, but who is now retired. long smoking history, 1 ppd recently. he apparently is a former alcoholic, but after counseling 10 years ago, his alcohol intake is much reduced. current etoh consumptions unclear. 3 children who are all well. family history: "stomach cancer" in his mother who died at age . his father had laryngeal cancer physical exam: general: intubated sedated heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp= 8cm lungs: ctab, good air movement biaterally. abdomen: nabs. soft, nt, nd. no hsm, several incisions with clean dressings, one jp drain extremities: no edema, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neuro: occ opens eyes and follows commands pertinent results: 07:27pm type-art rates-/11 tidal vol-640 o2-50 po2-225* pco2-46* ph-7.41 total co2-30 base xs-4 intubated-intubated vent-controlled 07:27pm glucose-143* lactate-1.6 na+-136 k+-4.4 cl--101 cxr : as compared to the previous examination, the patient has been extubated. the nasogastric tube is in unchanged position. the lung volumes have slightly decreased. the pre-existing bilateral pleural effusions are slightly more extensive than on the previous examination. also slightly more extensive are the pre-existing bilateral areas of atelectasis. unchanged evidence of mild pulmonary edema. no newly occurred focal parenchymal opacities suggesting pneumonia. unchanged moderate cardiomegaly. brief hospital course: 72 year old male with s/p subtotal gastrectomy, d2 lymphadenectomy, cbd exploration, and choledochojejunostomy for gastric antral ca. pt admitted to the icu post op. he was kept intubated, npo/ ivf, ppi , ebl was 2700 intraop given 3 untis of prbc, 1 l of albumin. epidural in place for pain control. extubated , good urine ouput. hct stable 28.9. slight hyppotension to 80s systolic wiht response to decresing the epidural and 2 l of ivf bolus. trophic tube feeds started. jp drain removed. transferred out of the . started on , with norm gas pattern. epidural dcd. cefoxitan started for ? pna on cxr. high ngt output 1600 cc - tf at 30 cc / hr. pca for pain control. febrile to 102.5 - pancultured. nutrition consult. tf at 60cc , sterted on cefoxitan. dulcolax given. physical therapy consulted. ngt removed. diarrhea. c diff checked. foley removed. tf decreased to stregth with improvement in diarrhea. ugib with low gastric emptying. fluids dcd. started on sips to clears. : advanced to regular diet, pain well controlled, ambulating. dcd home with vna, hha and pt. medications on admission: protonix 40 mg discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours) as needed for wheezing. disp:*qs 1* refills:*0* 2. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: home care services discharge diagnosis: 1. gastric adenocarcinoma. 2. common bile duct obstruction with cholelithiasis and choledocholithiasis discharge condition: vss, toleratins a regular diet with supplements, pain well controlled with po pain medications, ambulating without assistance discharge instructions: general: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: please call ( to schedule follow up with dr. for early next week - please call monday md, procedure: other enterostomy enteral infusion of concentrated nutritional substances cholecystectomy other lysis of peritoneal adhesions partial gastrectomy with anastomosis to jejunum repair of other hernia of anterior abdominal wall simple excision of other lymphatic structure choledochoenterostomy common duct exploration for removal of calculus diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia obstructive chronic bronchitis with (acute) exacerbation hemorrhage complicating a procedure peritoneal adhesions (postoperative) (postinfection) surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation accidents occurring in residential institution secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes ventral, unspecified, hernia without mention of obstruction or gangrene calculus of gallbladder and bile duct with acute and chronic cholecystitis, with obstruction malignant neoplasm of pyloric antrum 

Answer: The patient is high likely exposed to