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    Lower esophageal ring

    Esophagogastric ring; Schatzki's ring

    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

    A lower esophageal ring is a birth defect of the esophagus that occurs in a small number of people. It causes narrowing of the lower esophagus.

    Narrowing of the esophagus may also be caused by:

    • Injury
    • Tumors
    • Esophageal stricture

    Symptoms

    For most people, lower esophageal ring does not cause symptoms.

    The most common symptom is the feeling that food (especially solid food) is stuck in the lower neck or under the breastbone (sternum).

    Exams and Tests

    Tests that show the lower esophageal ring include:

    • EGD (esophagogastroduodenoscopy)
    • Upper GI (x-ray with barium)

    Treatment

    A device called a dilator is passed through the narrowed areato stretch the ring. Sometimes, a balloon is placed in the area and inflated, to help widen the ring.

    Outlook (Prognosis)

    Swallowing problems may return. You may need repeat treatment.

    When to Contact a Medical Professional

    Call your health care provider if you have swallowing problems.

    References

    Long JD, Orlando RC. Anatomy, histology, embryology, and developmental anomalies of the esophagus. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010: chap 41.

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    • Schatzki ring - X-ray

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      • Schatzki ring - X-ray

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      • Upper gastrointestinal s...

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      A Closer Look

        Self Care

          Tests for Lower esophageal ring

            Review Date: 10/8/2012

            Reviewed By: George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.

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            St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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