Four cancer cases after esophageal atresia repair
Time to start screening the upper gastrointestinal tract
Esophageal atresia (EA) is one of the most common congenital digestive malformations and requires surgical correction early in life. Dedicated centers have reported survival rates up to 95%. The most frequent comorbidities after EA repair are dysphagia (72%) and gastroesophageal reflux (GER) (67%). Chronic GER after EA repair might lead to mucosal damage, esophageal stricturing, Barrett’s esophagus and eventually esophageal adenocarcinoma. Several long-term follow-up studies found an increased risk of Barrett’s esophagus and esophageal carcinoma in EA patients, both at a relatively young age. Given these findings, the recent ESPGHAN-NASPGHAN guideline recommends routine endoscopy in adults born with EA. We report a series of four EA patients who developed a carcinoma of the gastrointestinal tract: three esophageal carcinoma and one colorectal carcinoma in a colonic interposition. These cases emphasize the importance of lifelong screening of the upper gastrointestinal tract in EA patients.
|Keywords||Adenocarcinoma, Barrett’s esophagus, Esophageal atresia, Esophageal cancer, Screening, Squamous cell carcinoma|
|Persistent URL||dx.doi.org/10.3748/wjg.v24.i9.1056, hdl.handle.net/1765/105315|
|Journal||World Journal of Gastroenterology|
Vergouwe, F.W.T, Gottrand, M. (Madeleine), Wijnhoven, B.P.L, IJsselstijn, H, Piessen, G. (Guillaume), Bruno, M.J, … Spaander, M.C.W. (2018). Four cancer cases after esophageal atresia repair. World Journal of Gastroenterology, 24(9), 1056–1062. doi:10.3748/wjg.v24.i9.1056