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Lower esophageal ring

Contents of this page:

Illustrations

Schatzki ring - X-ray
Schatzki ring - X-ray
Upper gastrointestinal system
Upper gastrointestinal system

Alternative Names    Return to top

Esophagogastric ring; Schatzki's ring

Definition    Return to top

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.

Causes    Return to top

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    Return to top

Exams and Tests    Return to top

Tests that show the lower esophageal ring include:

Treatment    Return to top

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.

Outlook (Prognosis)    Return to top

Swallowing problems may return. Repeated treatments may be needed.

When to Contact a Medical Professional    Return to top

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

References    Return to top

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.

Update Date: 7/17/2008

Updated 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.

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