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Lower esophageal ring

MedGen UID:
83320
•Concept ID:
C0341137
•
Disease or Syndrome
Synonym: Esophageal Ring, Lower
SNOMED CT: Lower esophageal ring (235623002)
 
Monarch Initiative: MONDO:0007577
OMIM®: 133240

Clinical features

From HPO
Dysphagia
MedGen UID:
41440
•Concept ID:
C0011168
•
Disease or Syndrome
Difficulty in swallowing.
See: Feature record | Search on this feature
Hiatus hernia
MedGen UID:
483347
•Concept ID:
C3489393
•
Disease or Syndrome
The presence of a hernia in which the upper part of the stomach, i.e., mainly the gastric cardia protrudes through the diaphragmatic esophageal hiatus.
See: Feature record | Search on this feature
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Professional guidelines

PubMed

Effective Treatment of Symptomatic Lower Esophageal (Schatzki) Rings With Acid Suppression Therapy: Confirmed on Barium Esophagography.
Novak SH, Shortsleeve MJ, Kantrowitz PA
AJR Am J Roentgenol 2015 Dec;205(6):1182-7. doi: 10.2214/AJR.15.14704. PMID: 26587923
Treatment of acute esophageal food impaction with glucagon, an effervescent agent, and water.
Robbins MI, Shortsleeve MJ
AJR Am J Roentgenol 1994 Feb;162(2):325-8. doi: 10.2214/ajr.162.2.8310919. PMID: 8310919
Lower esophageal ring: experiences in treatment of 88 patients.
Eastridge CE, Pate JW, Mann JA
Ann Thorac Surg 1984 Feb;37(2):103-7. doi: 10.1016/s0003-4975(10)60294-9. PMID: 6696542

Recent clinical studies

Etiology

Effective Treatment of Symptomatic Lower Esophageal (Schatzki) Rings With Acid Suppression Therapy: Confirmed on Barium Esophagography.
Novak SH, Shortsleeve MJ, Kantrowitz PA
AJR Am J Roentgenol 2015 Dec;205(6):1182-7. doi: 10.2214/AJR.15.14704. PMID: 26587923
Schatzki ring, statistically reexamined.
Pezzullo JC, Lewicki AM
Radiology 2003 Sep;228(3):609-13. Epub 2003 Jul 17 doi: 10.1148/radiol.2283021162. PMID: 12869689
Cutting the defiant lower esophageal ring.
Burdick JS, Venu RP, Hogan WJ
Gastrointest Endosc 1993 Sep-Oct;39(5):616-9. doi: 10.1016/s0016-5107(93)70210-2. PMID: 8224680
The lower esophageal ring and esophageal reflux.
Scharschmidt BF, Watts HD
Am J Gastroenterol 1978 May;69(5):544-9. PMID: 685961
THE LOWER ESOPHAGEAL RING. LONG TERM FOLLOW-UP OF SYMPTOMATIC AND ASYMPTOMATIC RINGS.
SCHATZKI R
Am J Roentgenol Radium Ther Nucl Med 1963 Oct;90:805-10. PMID: 14068418

Diagnosis

Schatzki ring, statistically reexamined.
Pezzullo JC, Lewicki AM
Radiology 2003 Sep;228(3):609-13. Epub 2003 Jul 17 doi: 10.1148/radiol.2283021162. PMID: 12869689
Lower esophageal (Schatzki's) ring: pathogenesis, diagnosis and therapy.
DeVault KR
Dig Dis 1996 Sep-Oct;14(5):323-9. doi: 10.1159/000171563. PMID: 8902418
Lower esophageal ring. 2.
Goyal RK, Glancy JJ, Spiro HM
N Engl J Med 1970 Jun 11;282(24):1355-62. doi: 10.1056/NEJM197006112822406. PMID: 4910549
Lower esophageal ring. 1.
Goyal RK, Glancy JJ, Spiro HM
N Engl J Med 1970 Jun 4;282(23):1298-305. doi: 10.1056/NEJM197006042822305. PMID: 4909920
Does a sliding hiatus hernia constitute a distinct clinical entity?
Kramer P
Gastroenterology 1969 Oct;57(4):442-8. PMID: 4951149

Therapy

Effective Treatment of Symptomatic Lower Esophageal (Schatzki) Rings With Acid Suppression Therapy: Confirmed on Barium Esophagography.
Novak SH, Shortsleeve MJ, Kantrowitz PA
AJR Am J Roentgenol 2015 Dec;205(6):1182-7. doi: 10.2214/AJR.15.14704. PMID: 26587923
Treatment of acute esophageal food impaction with glucagon, an effervescent agent, and water.
Robbins MI, Shortsleeve MJ
AJR Am J Roentgenol 1994 Feb;162(2):325-8. doi: 10.2214/ajr.162.2.8310919. PMID: 8310919
Single dilation of symptomatic Schatzki rings. A prospective evaluation of its effectiveness.
Eckardt VF, Kanzler G, Willems D
Dig Dis Sci 1992 Apr;37(4):577-82. doi: 10.1007/BF01307582. PMID: 1551348

Prognosis

Cutting the defiant lower esophageal ring.
Burdick JS, Venu RP, Hogan WJ
Gastrointest Endosc 1993 Sep-Oct;39(5):616-9. doi: 10.1016/s0016-5107(93)70210-2. PMID: 8224680
Natural progression of the lower esophageal mucosal ring.
Chen YM, Gelfand DW, Ott DJ, Munitz HA
Gastrointest Radiol 1987;12(2):93-8. doi: 10.1007/BF01885113. PMID: 3556982
Symptomatic lower esophageal ring: treatment of 24 patients.
Eastridge CE, Salazar J, Pate JW, Farrell G
South Med J 1979 Aug;72(8):919-21, 926. doi: 10.1097/00007611-197908000-00006. PMID: 472813
Pneumatic dilatation of lower esophageal ring.
Sanowski RA, Riegel N
Am J Dig Dis 1970 May;15(5):407-12. doi: 10.1007/BF02283866. PMID: 5439467
THE LOWER ESOPHAGEAL RING. LONG TERM FOLLOW-UP OF SYMPTOMATIC AND ASYMPTOMATIC RINGS.
SCHATZKI R
Am J Roentgenol Radium Ther Nucl Med 1963 Oct;90:805-10. PMID: 14068418

Clinical prediction guides

Effective Treatment of Symptomatic Lower Esophageal (Schatzki) Rings With Acid Suppression Therapy: Confirmed on Barium Esophagography.
Novak SH, Shortsleeve MJ, Kantrowitz PA
AJR Am J Roentgenol 2015 Dec;205(6):1182-7. doi: 10.2214/AJR.15.14704. PMID: 26587923
Pathology of a lower esophageal ring; report of a case, with autopsy, observed for nine years.
MACMAHON HE, SCHATZKI R, GARY JE
N Engl J Med 1958 Jul 3;259(1):1-8. doi: 10.1056/NEJM195807032590101. PMID: 13552971

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