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: intermucosal adenocarcinoma of the gastroesophageal junction. major surgical or invasive procedure: transhiatal esophagecty, jejunostomy, pyloroplasty history of present illness: the patient is a 68 year-old gentleman with a 25 year history of gerd. he was recently diagnosed with intermucosal adenocarcinoma of his gastroesophageal junction, in the setting of a barrett's esophagus. the patient's preoperative work-up was negative for any metastatic disease and therefore, he was deemed to be suitable for a transhiatal esophagectomy. past medical history: gerd, recent dysphagia. biopsy proven intramucosal adenoca and on egd pmh: htn, gout, svt, bph, basal cell ca psh: r orif, r ih, vasectomy family history: non-contributory physical exam: general: well appearing male in nad s/p esophagectomy and feeding j-tube. heent: left neck incision well approx, no redness, no drainage. staples d/c'd. jp drain d/c'd. chest: cta bilat cor: rrr s1, s2 abd: soft, nt, +bs. j-tube site benign. abd incision intact, no redness, no drainage. every other staple d/c'd. extrem: no c/c/e neuro: intact. pertinent results: cxr: : in comparison with study of earlier in the day, there has apparently been thorcentesis with removal of pleural fluid and a more sharp appearance of the right costophrenic angle. no evidence of pneumothorax. no change in the appearance of the mediastinum or left chest. brief hospital course: pt was admitted and taken to the or for esophagogastroduodenoscopy,transhiatal esophagectomy with bilateral plasty and placement of a feeding jejunostomy tube. or course was uneventful. an epidural was placed for pain control. an ngt, jp and chest tube were placed at the time of surgery. pt was admitted to sicu post op intubated for vent support and hemodynamic monitoring and volume resusitation. pt was extubated on pod#1. pod#2 trophic tube feeds started.left chest tube placed to water seal. ngt d/c'd. pod#3 developed afib- unsuccessful rate control w/ lopressor. responded to amiodarone bolus and drip. pod#4 cxr w/ progressive right effusion- tapped for 900cc old bloody fluid. pod#5 picc line for amiodarone until taking po's. tube feeds slowly increased to goal. epidural d/c'd and pain well controlled w/ roxicet. bowel regimen effective. pod#6 c/o right upper quad pain- w/u neg for biliary disease. pod#7 given trial of grape juice orally and no evidence of juice in anastomotic jp drain. pod#8 diet advanced to clears and well. did c/o intermittant fullness and cramping. tube feeds held and given laxative w/ good result and tube feeds were resumed. pod#9 diet advancedto fulls. po meds were intiated and tube feeds were advanced to goal. pod#10 pt abulating indep w/ ra sats 98%. d/c'd to home w/ vna services for tube feed assistance. d/c'd to home and will return for barium swallow before advancing diet. medications on admission: atenolol, allopurinol, doxazocin, mvi, glucosamine, polaramine discharge medications: 1. oxycodone-acetaminophen 5-325 mg/5 ml solution : 5-10 mls po q4h (every 4 hours) as needed. disp:*420 ml(s)* refills:*0* 2. docusate sodium 50 mg/5 ml liquid : one hundred (100) mls po bid (2 times a day) as needed for constipation. disp:*420 mls* refills:*2* 3. lactulose 10 gram/15 ml syrup : thirty (30) ml po q8h (every 8 hours) as needed for constipation. disp:*400 ml(s)* refills:*1* 4. doxazosin 1 mg tablet : two (2) tablet po hs (at bedtime). 5. allopurinol 100 mg tablet : three (3) tablet po daily (daily). 6. amiodarone 200 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*2* 8. tube feeding replete with fiber continuous at 90cc/hr flush w/ 50cc water every 8hrs and before and after feeds and medication. discharge disposition: home with service facility: vna discharge diagnosis: gerd, recent dysphagia. biopsy proven intramucosal adenoca and on egd pmh: htn, gout, svt, bph, basal cell ca discharge condition: good discharge instructions: call dr. office if you develop chest pain, shortness of breath, nausea, vomiting, diarrhea, inability to tolerate tube feeds or oral intake. continue on your tube feeds as directed and take full liquids by mouth. no caffiene and no carbonation. flush your feeding tube with 50cc water before and after medications and before and after feeding connect and disconnect. if you feeding tube sutures break, tape your tube securely in place and call the office to have the sutures replaced. if you feeding tube falls out, save the tube and call the office immediately. the tube needs to be replaced immediately because the tract closes very quickly. you will need to come into the office to have the feeding tube replaced. bring your old tube w/ you when you come in. followup instructions: you have a follow up appointment with np/ dr. on wednesday on the building one in the chest disease center at 1:30pm. you have a barium swallow on at 11am on the clinical center radiology. stop your tube feedings at midnight the night before. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified other enterostomy other endoscopy of small intestine enteral infusion of concentrated nutritional substances thoracentesis diagnostic ultrasound of other sites of thorax insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt partial esophagectomy partial gastrectomy with anastomosis to esophagus replacement of (naso-)gastric or esophagostomy tube other pyloroplasty diagnoses: other iatrogenic hypotension abdominal pain, unspecified site esophageal reflux unspecified pleural effusion unspecified essential hypertension gout, unspecified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) accidental puncture or laceration during a procedure, not elsewhere classified other specified cardiac dysrhythmias personal history of other malignant neoplasm of skin other postprocedural status barrett's esophagus malignant neoplasm of cardia accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to