title: Barrett esophagus and esophagojejunal anastomotic stenosis as complications of esophagogastric disconnection in children with esophageal atresia.
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.
authors.affiliation: 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
authors.forename: Madeleine
authors.initials: M
authors.lastname: Gottrand
authors.forename: Laurent
authors.initials: L
authors.lastname: Michaud
authors.forename: Dominique
authors.initials: D
authors.lastname: Guimber
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Coopman
authors.forename: Rony
authors.initials: R
authors.lastname: Sfeir
authors.forename: Michel
authors.initials: M
authors.lastname: Bonnevalle
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Leteurtre
authors.forename: Frédéric
authors.initials: F
authors.lastname: Gottrand
mesh_terms: D001471:Barrett Esophagus / Q000209:etiology* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D004933:Esophageal Atresia / Q000601:surgery*; D004940:Esophageal Stenosis / Q000209:etiology* / Q000503:physiopathology; D004943:Esophagogastric Junction / Q000601:surgery*; D005602:France; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology; D012720:Severity of Illness Index