The guidewire and PEG tube were then pulled through the mouth and esophagus and snug to the abdominal wall.  There was no evidence of bleeding.  Photos were taken.  The Bolster was placed on the PEG site.  A complete dictation for the EGD will be done separately by Dr. X.  The patient tolerated the procedure well and was transferred to recovery room in stable condition.  He will be started on tube feedings in 6 hours with aspiration precautions and dietary to determine his nutritional goal.