Schatzki Ring (cont.)
What are symptoms of a Schatzki Ring?
The majority of these rings cause no symptoms, and
patients are unaware of their presence. When the opening of the esophagus becomes smaller as the diameter of these rings shrink, solid, poorly chewed
food (such as steak, turkey, frankfurter) that stays in chunks can get
caught at the level of the ring. This occurs when the
diameter of the ring reaches approximately 1 cm. The patient then experiences
chest pain, or sticking sensation in the chest with swallowing (referred
to as dysphagia). If the chunk of food passes into the stomach,
these symptoms subside quickly and the patient can resume eating.
If the food does not pass into the stomach, some patients have to
induce regurgitation of the food by sticking their finger in the
back of their throat before they can resume eating.
Rarely, the food
becomes impacted (the food cannot pass nor can it be regurgitated).
These patients experience continued chest pain and difficulty swallowing
saliva and secretions. A flexible endoscope has to be inserted
through the mouth into the esophagus to extract the impacted food
to relieve the obstruction.
How is a Schatzki Ring diagnosed?
The diagnosis of Schatzki ring can usually be made by
barium x- ray examination of the
esophagus; however, a narrow ring can be missed on x-ray. In
patients with symptoms of dysphagia, doctors usually also
order an upper endoscope examination.
Endoscopy is the best way
of diagnosing a Schatzki ring. During the endoscopy,
a flexible viewing tube is inserted through the mouth into the
esophagus. It allows a direct view of the inner lining of the esophagus
and the stomach. The test helps to exclude early cancer,
esophagitis, and Barrett's esophagus.
What treatment is for Schatzki Ring?
Management of these rings involve procedures that will stretch or fracture these rings,
thus allowing freer passage of solid food. Stretching or fracturing
can be performed with endoscopes or tapered dilators inserted through
the mouth, also by deflated balloons that are placed across the
ring and are then blown up. Open surgery is hardly ever necessary
to handle these rings.
Last Editorial Review: 10/29/2008
- Endoscopy (Esophagogastroduodenoscopy, EGD) - Learn about the endoscopy procedure which examines the esophagus, stomach and duodenum to detect gastrointestinal and digestive disorders on MedicineNet.com
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- Upper GI Series (Barium Swallow) - An upper gastrointestinal GI series, or barium swallow is a test used in assisting in the diagnosis of upper gastrointestinal diseases or conditions such as ulcers, tumors, hiatal hernias, scarring, blockages, and abnormalities of the muscular wall of the GI tract.
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