{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T06:09:34Z","timestamp":1781244574024,"version":"3.54.1"},"reference-count":87,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIHR Great Ormond Street Hospital Biomedical Research Centre and G.B."},{"name":"NIHR Academic Clinical"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Concern exists that patients born with oesophageal atresia (OA) may be at high risk for Barrett\u2019s oesophagus (BO), a known malignant precursor to the development of oesophageal adenocarcinoma. Screening endoscopy has a role in early BO identification but is not universal in this population. This study aimed to determine prevalence of BO after OA repair surgery, to quantify the magnitude of this association and inform the need for screening and surveillance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A systematic review, undertaken according to PRISMA guidelines, was preregistered on PROSPERO (CRD42017081001). PubMed and EMBASE were interrogated using a standardized search strategy on 31 July 2020. Included papers, published in English, reported either: one or more patients with either BO (gastric\/intestinal metaplasia) or oesophageal cancer in patients born with OA; or long-term (greater than 2\u2009years) follow-up after OA surgery with or without endoscopic screening or surveillance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 134 studies were identified, including 19 case reports or series and 115 single- or multi-centre cohort studies. There were 13 cases of oesophageal cancer (9 squamous cell carcinoma, 4 adenocarcinoma) with a mean age at diagnosis of 40.5 (range 20\u201347) years. From 6282 patients under long-term follow-up, 317 patients with BO were reported. Overall prevalence of BO was 5.0 (95 per cent c.i. 4.5 to 5.6) per cent, with a mean age at detection of 13.8 years (range 8\u2009months to 56\u2009years). Prevalence of BO in series reporting endoscopic screening or surveillance was 12.8 (95 per cent c.i. 11.3 to 14.5) per cent.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Despite a limited number of cancers, the prevalence of BO in patients born with OA is relatively high. While limited by the quality of available evidence, this review suggests endoscopic screening and surveillance may be warranted, but uncertainties remain over the design and effectiveness of any putative programme.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjsopen\/zrab069","type":"journal-article","created":{"date-parts":[[2021,6,17]],"date-time":"2021-06-17T19:09:47Z","timestamp":1623956987000},"source":"Crossref","is-referenced-by-count":25,"title":["Barrett\u2019s oesophagus and oesophageal cancer following oesophageal atresia repair: a systematic review"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5679-7504","authenticated-orcid":false,"given":"L","family":"Tullie","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital , Southampton, UK"},{"name":"National Institute for Health Research Great Ormond Street Hospital Biomedical Research Centre, University College London Great Ormond Street Institute for Child Health , London, UK"},{"name":"Stem Cell and Cancer Biology Laboratory, The Francis Crick Institute , London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Kelay","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital , Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G S","family":"Bethell","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital , Southampton, UK"},{"name":"University Surgery Unit, Faculty of Medicine, University of Southampton , Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Major","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology, Southampton Children\u2019s Hospital , Southampton, 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