Esophageal adenocarcinoma and Barrett esophagus in a neurologically impaired teenager

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 neuro...

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Bibliographic Details
Published in:Pediatrics international 2016-11, Vol.58 (11), p.1235-1238
Main Authors: Hwang, Jae‐Yeon, Lee, Yeoun Joo, Chun, Peter, Shin, Dong Hoon, Park, Jae Hong
Format: Article
Language:English
Subjects:
Adenocarcinoma
Adenocarcinoma - complications
Adenocarcinoma - diagnosis
adolescent
Anastomosis
Barrett esophagus
Barrett Esophagus - complications
Barrett Esophagus - diagnosis
Biopsy
Cancer surgery
Disabled Persons
Disease Progression
Dysphagia
Endoscopy
Esophageal cancer
Esophageal Neoplasms - complications
Esophageal Neoplasms - diagnosis
Esophagoscopy
Esophagus
Fatal Outcome
Gastroesophageal reflux
Gastroscopy
Health risk assessment
Humans
Lymph nodes
Male
Nervous System Diseases - complications
Nervous System Diseases - rehabilitation
Neurological disorders
Pediatrics
Prognosis
Tomography, X-Ray Computed
Vomiting
Young Adult
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Summary: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.
ISSN:1328-8067
1442-200X
DOI:10.1111/ped.13114