Schatzki ring

Case contributed by Dr Carlos Andres Perez

Presentation

Dysphagia and epigastric pain

Patient Data

Age: 80 years
Gender: Female

Double contrast oesophagram

Fluoroscopy

Double contrast barium study showing the relationship between the Schatzki ring and a hiatal hernia .

Annotated image

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.

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