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March 1962

Lower Esophageal (Schatzki's) Ring: Report of a Symptomatic Case

Author Affiliations

From the Departments of Thoracic Surgery, Benjamin Franklin and Mount Carmel Hospitals.

Arch Surg. 1962;84(3):286-287. doi:10.1001/archsurg.1962.01300210020004

Intermittent dysphagia due to the presence of an annular constriction in the distal esophagus was reported for the first time in 1953. Ingelfinger and Kramer1 reported 6 cases of unknown nature and pathogenesis.

Schatzki and Gary2 presented some additional cases a few months later and recognized the presence of this idiopathic concentric narrowing in the distal esophagus as a separate clinical entity.

This contractile ring is usually located 3 to 5 cm. from the cardia and reduces markedly the lumen of the esophagus; in some instances the diameter of the esophageal lumen is reduced to only a few millimeters.

Endoscopic examination usually fails to reveal any inflammatory changes, scarring, ulceration, or tumor.

Barium-swallow studies and esophagograms demonstrate consistently the presence of the ring-like narrowing in the distal esophagus which represents a thin annular diaphragm producing partial obstruction of the esophagus.

This condition is usually an incidental finding on

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