Barrett's Adenocarcinoma 52 Years After Subtotal Esophagectomy for Pediatric Peptic Stricture

Dunn, L; Robertson, Andrew; Immanuel, A; Griffin, S. M.

doi:10.1016/j.athoracsur.2009.06.078

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…This raises considerable doubt about the wisdom of gastric transposition in children with a life expectancy of 80 years. Adenocarcinoma has been recorded in the oesophageal remnant of a patient undergoing partial oesophagectomy with gastric reconstruction in childhood . Barrett's epithelium was found in 10 of 14 patients who had undergone oesophageal reconstruction using a gastric tube .…”

Section: Discussionmentioning

confidence: 99%

“…Adenocarcinoma has been recorded in the oesophageal remnant of a patient undergoing partial oesophagectomy with gastric reconstruction in childhood. 85 Barrett's epithelium was found in 10 of 14 patients who had undergone oesophageal reconstruction using a gastric tube. 86 A recent systematic review highlighted the dangers to children of gastric reconstruction following oesophagectomy, recommending routine endoscopic surveillance.…”

Section: Reflux Oesophagitis and Dysplasiamentioning

confidence: 99%

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Oesophageal replacement with stomach: A personal series and review of published experience

Awad

Jaffray

2017

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 99%

Section: Reflux Oesophagitis and Dysplasiamentioning

confidence: 99%

Oesophageal replacement with stomach: A personal series and review of published experience

Awad

Jaffray

2017

J Paediatrics Child Health

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“…Two cases occurred more than 40 years after surgery for benign stricture in childhood. In one case, progression was demonstrated from dysplastic Barrett's through to invasive adenocarcinoma . In the second case, intramucosal adenocarcinoma was present within the area of postoperative Barrett's at the time of diagnosis …”

Section: Malignant Progression In Postoperative Barrett'smentioning

confidence: 97%

“…The high prevalence of Barrett's metaplasia following esophageal reconstruction with a gastric conduit has led to some authors recommending routine endoscopic surveillance of such patients . Surgical or endoscopic resection of malignancy occurring within post‐esophagectomy Barrett's is possible and has been described by two groups . This provides some clinical justification for endoscopic follow up of patients, but it appears that the numbers of patients likely to benefit are extremely small.…”

Section: Summary and Implications For Clinical Practicementioning

confidence: 99%

Columnar metaplasia in the esophageal remnant after esophagectomy: a systematic review

2013

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Barrett's metaplasia is a well-recognized risk factor for esophageal adenocarcinoma. It is believed to develop in response to the injurious effects of gastroesophageal reflux. Following subtotal esophagectomy and reconstruction with a gastric conduit, many patients experience profound reflux into the remnant esophagus. Barrett's-like epithelium has been described in these patients, and they have been identified as a potential human model in which to study the early events in the development of metaplasia. This phenomenon also raises clinical concerns about the long-term fate of the esophageal remnant following surgery and the potential for further malignant change. This systematic review summarizes the literature on the prevalence and timing of Barrett's metaplasia occurring after esophagectomy, reviews the evidence regarding risk factors and malignant progression in such patients, and considers the implications for clinical practice.

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A novel laparoscopic approach for severe esophageal stenosis due to reflux esophagitis: how to do it

et al. 2014

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We herein report our technique for laparoscopic esophageal myotomy combined with Collis gastroplasty and Nissen fundoplication for severe esophageal stenosis. Our patient had experienced vomiting since childhood, and his dysphagia had gradually worsened. He was referred to our department for surgery because of resistance to pneumatic dilation. He was diagnosed with a short esophagus based on the findings of a preoperative upper gastrointestinal series and GI endoscopy. After exposing the abdominal esophagus, esophageal myotomy around the esophago-gastric junction (EGJ) was undertaken to introduce an esophageal bougie into the stomach. Then, stapled wedge gastroplasty was performed, and a short and loose Nissen fundoplication was performed. In addition, the bulging mucosa after myotomy was patched using the Dor method. The patient's postoperative course was uneventful. Most patients with esophageal stricture require subtotal esophagectomy. Laparoscopic surgery for patients with benign esophageal stricture refractory to repeated pneumatic dilation is challenging. However, our current procedure might abrogate the need for invasive esophagectomy for the surgical management of severe esophageal stenosis.

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Barrett's Adenocarcinoma 52 Years After Subtotal Esophagectomy for Pediatric Peptic Stricture

Cited by 4 publications

References 8 publications

Oesophageal replacement with stomach: A personal series and review of published experience

Oesophageal replacement with stomach: A personal series and review of published experience

Columnar metaplasia in the esophageal remnant after esophagectomy: a systematic review

A novel laparoscopic approach for severe esophageal stenosis due to reflux esophagitis: how to do it

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