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J Pediatr Gastroenterol Nutr. 2013 Jul;57(1):93-5. doi: 10.1097/MPG.0b013e3182929ec2.

Barrett esophagus and esophagojejunal anastomotic stenosis as complications of esophagogastric disconnection in children with esophageal atresia.

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1
Reference Center for Congenital and Malformative Esophageal Disorders, Jeanne de Flandre Children's Hospital, Faculty of Medicine, University Lille2, Lille, France. frederic.gottrand@chru-lille.fr

Abstract

Total esophagogastric disconnection (TED) is an alternative surgical procedure in resistant gastroesophageal reflux disease. We report 2 severe, not yet described long-term complications of TED occurring in 4 children with a history of esophageal atresia. Three children presented with stenosis of the esophagojejunal anastomosis 5 months to 9 years after TED, requiring repeated dilations associated with mitomycin C application in one of them. Barrett esophagus was observed in 3 children 8 to 9 years after TED. Careful long-term clinical and endoscopic follow-up of children who underwent TED is required.

PMID:
23535759
DOI:
10.1097/MPG.0b013e3182929ec2
[Indexed for MEDLINE]
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