Portal login
 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks Save as Bookmark
bookmarks-menu

Lower esophageal ring

Esophagogastric ring; Schatzki's ring; Dysphagia - esophageal ring; Swallowing problems - esophageal 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 narrowing of the esophagus that occurs in a small number of people. The cause of the problem is unclear, but many believe that it is caused by acid reflux.

Narrowing of the esophagus may also be caused by:

Symptoms

For most people, a 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:

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 (dilate) the ring.

Outlook (Prognosis)

Swallowing problems may return. You may need repeat treatment.

When to Contact a Medical Professional

Contact your health care provider if you have swallowing problems.

References

DeVault KR. Symptoms of esophageal disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 13.

Madanick RD, Kaila V. 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. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 43.

Text only

  • Schatzki ring - x-ray

    A solution containing a dye (barium), which is visible on x-rays, has been swallowed (upper GI series) and x-rays have been taken of the esophagus. There is a narrowing near the stomach (indicated by the arrow). This non-cancerous ring of tissue (Shatzki ring) may cause swallowing problems (dysphagia) and can be treated with dilation of the stricture.

    Schatzki ring - x-ray

    illustration

  • Upper gastrointestinal system

    The upper gastrointestinal organs include the mouth, esophagus and stomach.

    Upper gastrointestinal system

    illustration

    • Schatzki ring - x-ray

      A solution containing a dye (barium), which is visible on x-rays, has been swallowed (upper GI series) and x-rays have been taken of the esophagus. There is a narrowing near the stomach (indicated by the arrow). This non-cancerous ring of tissue (Shatzki ring) may cause swallowing problems (dysphagia) and can be treated with dilation of the stricture.

      Schatzki ring - x-ray

      illustration

    • Upper gastrointestinal system

      The upper gastrointestinal organs include the mouth, esophagus and stomach.

      Upper gastrointestinal system

      illustration


    Review Date: 10/31/2022

    Reviewed By: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
    © 1997- adam.com All rights reserved.

     
     
     

     

     

    A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.
    Content is best viewed in IE9 or above, Firefox and Google Chrome browser.