Difference between revisions of "Schatzki ring"

 
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==Clinical Features==
 
==Clinical Features==
*Dysphagia with solid foods
+
*[[Dysphagia]] with solid foods
 
*Food sticking sensation with swallowing
 
*Food sticking sensation with swallowing
*Crushing chest pain w/ complete bolus obstruction
+
*Crushing [[chest pain]] with complete bolus obstruction
 
**"Steakhouse syndrome"
 
**"Steakhouse syndrome"
  
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{{Dysphagia DDX}}
 
{{Dysphagia DDX}}
  
==Diagnosis==
+
==Evaluation==
 
[[File:Schatzkiring.jpg|thumbnail|Barium swallow with narrowing at ring]]
 
[[File:Schatzkiring.jpg|thumbnail|Barium swallow with narrowing at ring]]
 
*EGD
 
*EGD

Latest revision as of 00:10, 30 September 2019

Background

Schatzki ring at lower esophageal sphincter, one of four areas of natural narrowing.
  • Impacted food bolus common ED complaint
  • 4 areas of narrowing in the esophagus
    • Upper esophageal sphincter (cricopharyngeus muscle)
    • Aortic arch
    • L mainstem bronchus
    • Lower esophageal sphincter
  • Schatzki Ring: mucosal or muscular tissue ring

Clinical Features

  • Dysphagia with solid foods
  • Food sticking sensation with swallowing
  • Crushing chest pain with complete bolus obstruction
    • "Steakhouse syndrome"

Differential Diagnosis

Dysphagia

Evaluation

Barium swallow with narrowing at ring
  • EGD
    • Esophageal webs do not completely encircle the esophagus
  • Barium swallow

Management

  • No treatment for asymptomatic
  • Food bolus removed with endoscopy
  • Balloon dilation of symptomatic rings

See Also

Dysphagia

References