LETTER TO THE EDITOR COMMENT ON: Progression of esophageal atresia associated Barrett's esophagus in adulthood - Is endoscopic surveillance worth it?

Topic overview

We commend Koivusalo et al. for highlighting surveillance endoscopy in esophageal atresia (EA).1 While their study of 71 adults with repaired type C EA identified increasing rate of Barrett’s esophagus with age and zero cases of adenocarcinoma, their recommendation against surveillance before age 50 warrants caution. This conclusion, based on a small retrospective cohort and absence of adenocarcinoma, contrasts with reports of esophageal adenocarcinoma in EA patients as young as 20 years.2

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