Schatzki ring is a circular membrane of the mucosal and submucosal layer of the distal esophagus at the squamocolumnar junction. It grows over time in diameter and causes bolus obstruction that leads to pain during swallowing.
There are three types:
- A-rings: The ring forms above the junction between the stomach and esophagus.
- B-rings: The ring forms between the lower end of the esophagus and the junction between the esophagus and stomach. This is the most common type.
- C-rings: The rings develop below the junction. This is the least type of Schatzki ring.
Treatment is not necessary for the patients until the symptoms do not appear. The treatments include:
- Widening of Schatzki ring using a blunt-tipped instrument called bougie, guided by visual aid of endoscopy. Bougies can be used with or without a guidewire. Fluoroscopy can also be used to visualize dilation and direct the procedure.
- Balloon dilation is a procedure in which a balloon is inserted and inflated at the position of Schatzki ring.
- Acid suppression therapy to minimize acid reflux: quitting smoking, dinner intake at least three hours before bedtime, avoiding spicy foods, caffeine, and chocolate.
- Dietary practices: The patients can take measures of thorough chewing of food before swallowing or sipping water in between the bites. Thorough chewing lubricates the food for its movement down the food pipe. The measures comfort the swallowing.
Steakhouse syndrome,Dysphagia,Barret's esophagus,Hiatal hernia
Difficulty during swallowing,Bolus obstruction,Chest pain,Heartburn