Barrett's esophagus and eosinophilic esophagitis in a young pediatric patient with esophageal atresia

•We report the case of a 4 year old girl born with esophageal atresia.•In the course of follow up, she was found to have both Barrett's esophagus and eosinophilic esophagitis.•This highlights the importance of early and regular endoscopic surveillance even in the pediatric age group.

We report the case and follow up of a 4 year old girl who was born with esophageal atresia and was found to have concomitant Barrett's esophagus and eosinophilic esophagitis. Development of metaplasia has generally been regarded as a chronic, long term complication post esophageal atresia repair, however this case highlights the need for early and regular endoscopic surveillance in this vulnerable patient population. In addition to this, eosinophilic esophagitis has only rarely been reported in patients with concomitant Barrett's esophagus. Our patient is the youngest in reported literature with Barrett's changes post esophageal atresia repair, and the first such reported patient with both eosinophilic esophagitis and Barrett's esophagus.