Legrand et al in a retrospective French study to evaluate the outcome of 57 young people with oesophageal atresia type III (EA) presenting to a single centre over a 10 year period. They report that a only 19% of participants had no digestive symptoms with dyspahgia and reflux the most common GI symptoms. Only 37% had no respiratory symptoms. Spirometry showed that 61% had abnormalities of respiratory function. Quality of life was good but was lower than in healthy controls (80 vs 84, p<0.05) and lower in patients born prematurely, with symptoms of GORD and with a barky cough. The authors conclude the high frequency of late sequelae in oesophageal atresia type III justifies regular and multidisciplinary follow-up through to adulthood.