Presentation
Dysphagia and epigastric pain
Patient Data
Age: 80 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/40029/annotated_viewer_json?lang=us"}
Double contrast barium study showing the relationship between the Schatzki ring and a hiatal hernia .
From the case:
Schatzki ring
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/40033/annotated_viewer_json?lang=us"}
Right arrow indicating the circumferential constriction at the distal esophagus.
Case Discussion
The circumferential constriction in the distal esophagus is compatible with a fixed B-ring with a caliber <13 mm. Since it produces some degree of dysphagia and chest pain secondary to food impaction, it is termed a Schatzki ring.
It is common to see a sliding hiatal hernia associated with these rings and both are associated with peptic esophagitis and peptic strictures.
The treatment is surgical, since the expansions are not usually effective.
Unable to process the form. Check for errors and try again.