Barrett's adenocarcinoma 52 years after subtotal esophagectomy for pediatric peptic stricture.

Barrett's esophagus results from the long-term effects of both acid and bile reflux. After subtotal esophagectomy and reconstruction with a gastric tube, many patients experience profound reflux. Development of Barrett's epithelium in the esophageal remnant has been reported. Here we report the case of a man who was diagnosed with adenocarcinoma in his esophageal remnant on a background of Barrett's change 52 years after undergoing one of the first esophageal resections for benign disease as a child. 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.