LETTER TO THE EDITOR COMMENT ON: Progression of esophageal atresia associated Barrett's esophagus in adulthood - Is endoscopic surveillance worth it?
Topic overview
This letter challenges recommendations against endoscopic surveillance before age 50 in adults with repaired esophageal atresia. The authors cite reports of adenocarcinoma in EA patients as young as 20, arguing that small cohort size and absence of cancer cases may not justify delaying surveillance given known malignancy risk.
Key takeaways
- Barrett's esophagus incidence increases with age in adults with repaired esophageal atresia, requiring long-term monitoring considerations.
- Esophageal adenocarcinoma has been reported in EA patients as young as 20 years, challenging delayed surveillance recommendations.
- Small retrospective cohorts may underestimate malignancy risk; absence of cancer in 71 patients doesn't justify deferring surveillance to age 50.
- Surveillance endoscopy timing in repaired EA remains controversial and requires individualized risk assessment beyond age-based protocols.
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How to cite: GlobalCastMD. LETTER TO THE EDITOR COMMENT ON: Progression of esophageal atresia associated Barrett's esophagus in adulthood - Is endoscopic surveillance worth it?. GlobalCastMD Medical Library. 2026-04-29. https://library.globalcastmd.com/article/11884
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