Presentation
Dysphagia and epigastric pain
Patient Data
Age: 80 years
Gender: Female
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Double contrast barium study showing the relationship between the Schatzki ring and a hiatal hernia .
From the case:
Schatzki ring
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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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