Heterotopic gastric mucosa of the upper esophagus following repair of esophageal atresia with tracheoesophageal fistula ☆,☆☆ Sifrance Tran, Sudipta Misra, James G. Bittner IV, Walter Pipkin, Robyn Hatley, Charles G. Howell ⁎ Department of Surgery, Medical College of Georgia School of Medicine, Augusta, GA 30912, USA Received 8 June 2010; revised 8 September 2010; accepted 8 September 2010 Key words: Heterotopic gastric mucosa; Inlet patch; Tracheoesophageal atresia; Esophagus; Endoscopy Abstract A term female newborn underwent uncomplicated repair of esophageal atresia with tracheoesophageal fistula (type C) then coarctation of the aorta. Subsequently, she developed symptomatic esophageal strictures, which required serial dilations. In addition, she suffered feeding intolerance from esophageal dysmotility and gastroesophageal reflux disease, necessitating Nissen fundoplication with gastrostomy. At 6 years of age, surveillance esophagogastroduodenoscopy revealed mild stenosis and heterotopic gastric mucosa of the upper esophagus at the level of the anastomosis. This is the second report of heterotopic gastric mucosa of the upper esophagus at the level of the anastomosis following repair of esophageal atresia with tracheoesophageal fistula. © 2011 Elsevier Inc. All rights reserved. 1. Case report On her second day of life, a female infant born at 39 weeks' gestation following an uncomplicated pregnancy underwent successful repair of proximal esophageal atresia with distal tracheoesophageal fistula (EA/TEF) via right thoracotomy. Subsequently, she tolerated coarctation of the aorta repair without sequelae. Postoperatively, the patient tolerated oral feeds and gained weight appropriately. At 15 months of age, she experienced episodes of nonbilious emesis associated with oral intake. An esopha- gram demonstrated strictures at the gastroesophageal junction and esophageal anastomosis. She underwent multiple fluoroscopy-guided esophageal dilations to size 36F with intermittent improvement in symptoms. At 24 months of age, the patient again returned with intermittent episodes of nonbilious emesis associated with ☆ Disclosure: The material contained herein has not been previously published or submitted elsewhere for publication and will not be sent to another journal until a decision is made concerning publication by the Journal of Pediatric Surgery. In addition, the authors cite no personal conflicts of interest or financial arrangements with the organizations, corporations, and/or devices detailed in this manuscript. No sources of external funding were utilized. ☆☆ Copyright: The undersigned authors transfer all copyright ownership of the manuscript to the Journal of Pediatric Surgery in the event the work is published. The authors warrant that the article is original, does not infringe upon any copyright or other proprietary right of any third party, is not under consideration by another journal, and has not been published previously. ⁎ Corresponding author. Tel.: +1 706 721 3941. E-mail address: chowell@mcg.edu (C.G. Howell). www.elsevier.com/locate/jpedsurg 0022-3468/$ – see front matter © 2011 Elsevier Inc. All rights reserved. doi:10.1016/j.jpedsurg.2010.09.010 Journal of Pediatric Surgery (2011) 46, E37–E39