Development of an adenocarcinoma of the esophagus 22 years after primary repair of a congenital atresia

Pultrum, Bareld B.; Bijleveld, Cma; Langen, Zacharias J. de; Plukker, John

doi:10.1016/j.jpedsurg.2005.08.042

Cited by 57 publications

(35 citation statements)

References 23 publications

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“…To date, 5 case reports of esophageal cancer among EA patients have appeared worldwide [26][27][28][29][30]. LaQuaglia (1987) [28] reported a 45-year-old female EA patient, and Deurloo (2001) [30] a 38-year-old male EA patient, both of whom developed a squamous cell carcinoma of the esophagus.…”

Section: Discussionmentioning

confidence: 99%

“…LaQuaglia (1987) [28] reported a 45-year-old female EA patient, and Deurloo (2001) [30] a 38-year-old male EA patient, both of whom developed a squamous cell carcinoma of the esophagus. Adzick (1989) [29], Pultrum (2005) [27], and Alfaro (2005) [26] each reported a young female patient with esophageal adenocarcinoma, patients were 20, 22, and 46 years of age at the time of diagnosis. Thus, esophageal cancer was diagnosed at an exceptionally early age in all these patients.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic follow-up studies of adult EA patients have demonstrated esophagitis [4,6], intestinal metaplasia [1,9,10,12], and even cases of esophageal carcinoma [12]. The total of esophageal cancer cases reported to date among adult EA patients has been only 5 [26][27][28][29][30]. To this end, we performed a population-based prospective long-term follow-up for esophageal cancer and other cancers in patients with EA.…”

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confidence: 99%

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Cancer after repair of esophageal atresia: population-based long-term follow-up

Sistonen

Koivusalo

Lindahl

et al. 2008

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Cancer after repair of esophageal atresia: population-based long-term follow-up

Sistonen

Koivusalo

Lindahl

et al. 2008

Journal of Pediatric Surgery

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“…[18][19][20][21] An esophageal adenocarcinoma presented at the age of 20 and 22 years, as opposed to the patients with squamous cell carcinoma at the age of 38 and 40 years (Table 5). Diminished peristalsis and a slow clearance of the esophagus are often seen after a reconstruction of esophageal atresia.…”

Section: Esophageal Atresiamentioning

confidence: 99%

Current progress in neonatal surgery

Taguchi

2008

Surg Today

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Neonatal surgery is the most specialized and sophisticated field of pediatric surgery. I herein review esophageal atresia, abdominal wall defects, gastrointestinal perforation, and congenital diaphragmatic hernia (CDH) as representative types of neonatal surgery. The clinical results of esophageal atresia have been considered to reflect the level of medicine of an individual country. Owing to an early diagnosis, improved operative techniques, and better perioperative management, the mortality rate has now become almost 0%. In addition, a minimally invasive thoracotomy is considered to improve long-term quality of life. The overall mortality rate of neonatal surgical disease has markedly decreased and is now less than 10%. However, abdominal wall defects, gastrointestinal perforation, and CDH still show a high mortality rate. A high incidence of chromosomal anomalies results in a poor outcome for abdominal wall defect. A gastrointestinal perforation in an infant complicated with an extremely how birth weight shows a high mortality rate. In CDH, pulmonary hypoplasia as well as pulmonary hypertension often causes an acute respiratory and circulatory deterioration after birth. Neither intensive care for pulmonary hypertension, including ECMO, nor fetal intervention has yet achieved a satisfactory outcome. Permissive hypercapnea and a delayed operation aiming at circulatory stabilization have resulted in a good survival rate. However, CDH survivors may be at risk for long-term morbidities. The method to induce pulmonary development is considered to be mandatory to achieve a good quality of life for severe CDH.

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“…[29][30][31] Our results showing a high frequency of BE in this young population must be considered. The first successful operation for EA was reported in the late 1950s.…”

Section: Discussionmentioning

confidence: 79%

Prevalence of Barrett Esophagus in Adolescents and Young Adults With Esophageal Atresia

Schneider¹,

Gottrand²,

Bellaïche³

et al. 2016

Annals of Surgery

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To study the prevalence of Barrett esophagus (BE) (gastric and/or intestinal metaplasia) in adolescents treated for esophageal atresia (EA). SUMMARY OF BACKGROUND DATA: EA patients are at high risk of BE. METHODS: This multicenter prospective study included EA patients aged 15 to 19 years. All eligible patients were proposed an upper endoscopy with multistaged esophageal biopsies under general anesthesia. Histological suspicion of metaplasia was confirmed centrally. RESULTS: One hundred twenty patients [mean age, 16.5 years (±1.4)] were included; 70% had been treated for gastroesophageal reflux disease (GERD) during infancy. At evaluation, 8% were undernourished, 41% had received antireflux surgery, and 41% presented with GERD symptoms, although only 28% were receiving medical treatment. Esophagitis was found at endoscopy in 34% and confirmed at histology in 67%. BE was suspected after endoscopy in 37% and was confirmed by histology for 43% of patients (50 gastric and 1 intestinal m...

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Development of an adenocarcinoma of the esophagus 22 years after primary repair of a congenital atresia

Cited by 57 publications

References 23 publications

Cancer after repair of esophageal atresia: population-based long-term follow-up

Cancer after repair of esophageal atresia: population-based long-term follow-up

Current progress in neonatal surgery

Prevalence of Barrett Esophagus in Adolescents and Young Adults With Esophageal Atresia

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