Esophageal adenocarcinoma and Barrett esophagus in a neurologically impaired teenager

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• 作者：Jae-Yeon Hwang ; Yeoun Joo Lee ; Peter Chun ; Dong Hoon Shin and Jae Hong Park
• 刊名：Pediatrics International
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：58
• 期：11
• 页码：1235-1238
• 全文大小：2803K
• ISSN：1442-200X

文摘

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.