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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 area to 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: Elsevier Saunders; 2010: chap 41.

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  • Schatzki ring - X-ray

    Schatzki ring - X-ray

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  • Upper gastrointestinal system

    Upper gastrointestinal s...

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    • Schatzki ring - X-ray

      Schatzki ring - X-ray

      illustration

    • Upper gastrointestinal system

      Upper gastrointestinal s...

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    A Closer Look

     

      Self Care

       

        Tests for Lower esophageal ring

         
           

          Review Date: 11/20/2014

          Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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