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Schatzki ring - X-ray
Schatzki ring - X-ray


Upper gastrointestinal system
Upper gastrointestinal system


Definition:

A lower esophageal ring is an abnormal ring of tissue that forms where the esophagus (the tube from the mouth to the stomach) and stomach meet.



Alternative Names:

Esophagogastric ring; Schatzki's ring



Causes, incidence, and risk factors:

A lower esophageal ring is a matter of debate can be caused from swallowing dangerous acids or other corrosive materials. In some cases, it is a birth defect. Sometimes, it is due to injury caused by gastroesophageal reflux disease (GERD).



Symptoms:

Signs and tests:

Tests that show the lower esophageal ring include:



Treatment:

Treatment involves stretching the ring by passing a device called a dilator through the area. Sometimes, a balloon is placed in the area and inflated, which helps widen the abnormal ring.

When dilation does not work, surgery may be need to cut away the abnormal tissue.

Any reflux issues, such as GERD, should be treated.



Support Groups:



Expectations (prognosis):

Swallowing problems may return. Repeated treatments may be needed.



Calling your health care provider:

Call for an appointment with your health care provider if you have swallowing problems or symptoms of GERD.



Prevention:



References:

Maish M. Esophagus.In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. St. Louis, Mo: WB Saunders; 2008:chap.41.




Review Date: 7/17/2008
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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