Schatzki ring

Case contributed by Matt A. Morgan
Diagnosis certain

Presentation

Dysphagia

Patient Data

Age: 70 years
Gender: Female

Barium swallow (esophagram)

Barium

This images demonstrates a thin (3 mm) ring at the squamocolumnar transition at the gastroesophageal junction. It is just above a small hiatal hernia.

The ring narrows the esophagus at the level of the gastroesophageal junction to 12 mm.

Upper endoscopy

Photo

Image from a follow up endoscopy, showing the mucosal ring before it was balloon dilated.

Case Discussion

This case shows a mucosal ring at the gastroesophageal junction, which would be a B ring based on its location. Since the lumen is relatively narrowed from this ring and since it is symptomatic, the term "Schatzki ring" is often used.

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