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Ann Thorac Surg 2010;89:604-606. doi:10.1016/j.athoracsur.2009.06.078
© 2010 The Society of Thoracic Surgeons
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Case Reports

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

Lorna J. Dunn, MBBS, Andrew G.N. Robertson, MBChB, Arul Immanuel, MD, S. Michael Griffin, MD*

Northern Oesophago-Gastric Cancer Unit, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom

Accepted for publication June 9, 2009.

* Address correspondence to Prof Griffin, Professor of Gastrointestinal Surgery, Northern Oesophagogastric Cancer Unit, Royal Victoria Infirmary, Queen Victoria Rd, Newcastle Upon Tyne, NE1 4LP, United Kingdom (Email: michael.griffin{at}nuth.nhs.uk).

Barrett's esophagus results from the long-term effects of both acid and bile reflux. After subtotal esophagectomy and reconstruction with a gastric tube, many patients experience profound reflux. Development of Barrett's epithelium in the esophageal remnant has been reported. Here we report the case of a man who was diagnosed with adenocarcinoma in his esophageal remnant on a background of Barrett's change 52 years after undergoing one of the first esophageal resections for benign disease as a child.






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