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Pediatr Int. 2016 Nov;58(11):1235-1238. doi: 10.1111/ped.13114.

Esophageal adenocarcinoma and Barrett esophagus in a neurologically impaired teenager.

Author information

1
Department of Radiology, Pusan National University Yangsan Hospital, Yangsan, Korea.
2
Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea.
3
Department of Pathology, Pusan National University Yangsan Hospital, Yangsan, Korea.

Abstract

Esophageal adenocarcinoma (EAC) accompanied by Barrett esophagus (BE) is rare in patients younger than 20 years old. EAC in the upper esophagus is also rare. We report a rare case of EAC with BE that developed in the upper esophagus after chronic, untreated gastroesophageal reflux disease in a neurologically impaired teenager. A 19-year-old neurologically impaired man underwent endoscopy for evaluation of dysphagia and vomiting, and was diagnosed with EAC with BE. He underwent transthoracic esophagectomy, extensive lymph node dissection, and cervical esophagogastric anastomosis, but the prognosis was poor. Pathology indicated poorly differentiated adenocarcinoma with BE.

KEYWORDS:

Barrett esophagus; adenocarcinoma; adolescent; gastroesophageal reflux

PMID:
27882742
DOI:
10.1111/ped.13114
[Indexed for MEDLINE]

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