Diferencia entre revisiones de «Schatzki ring»
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==Background== | ==Background== | ||
[[File:Gray1032.png|thumb|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]] | |||
[[File:Layers of the GI Tract english.svg|thumb|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]] | |||
[[File:Illu esophagus.jpg|thumb|Esophagus anatomy and nomenclature based on two systems.]] | |||
[[File:Schatzki ring 2.jpg|thumbnail|Schatzki ring at lower esophageal sphincter, one of four areas of natural narrowing.]] | [[File:Schatzki ring 2.jpg|thumbnail|Schatzki ring at lower esophageal sphincter, one of four areas of natural narrowing.]] | ||
*Impacted food bolus common ED complaint | *Impacted food bolus common ED complaint | ||
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**Lower esophageal sphincter | **Lower esophageal sphincter | ||
*Schatzki Ring: mucosal or muscular tissue ring | *Schatzki Ring: mucosal or muscular tissue ring | ||
==Clinical Features== | ==Clinical Features== | ||
*Dysphagia with solid foods | |||
*[[Special:MyLanguage/Dysphagia|Dysphagia]] with solid foods | |||
*Food sticking sensation with swallowing | *Food sticking sensation with swallowing | ||
*Crushing chest pain with complete bolus obstruction | *Crushing [[Special:MyLanguage/chest pain|chest pain]] with complete bolus obstruction | ||
**"Steakhouse syndrome" | **"Steakhouse syndrome" | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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{{Dysphagia DDX}} | {{Dysphagia DDX}} | ||
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==Evaluation== | |||
[[File:Schatzkiring.jpg|thumbnail|Barium swallow with narrowing at ring]] | [[File:Schatzkiring.jpg|thumbnail|Barium swallow with narrowing at ring]] | ||
*EGD | *EGD | ||
**Esophageal webs do not completely encircle the esophagus | **Esophageal webs do not completely encircle the esophagus | ||
*Barium swallow | *Barium swallow | ||
==Management== | ==Management== | ||
*No treatment for asymptomatic | *No treatment for asymptomatic | ||
*Food bolus removed with endoscopy | *Food bolus removed with endoscopy | ||
*Balloon dilation of symptomatic rings | *Balloon dilation of symptomatic rings | ||
==See Also== | ==See Also== | ||
[[Dysphagia]] | |||
[[Special:MyLanguage/Dysphagia|Dysphagia]] | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:GI]] | [[Category:GI]] | ||
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Revisión actual - 23:57 4 ene 2026
Background
- Impacted food bolus common ED complaint
- 4 areas of narrowing in the esophagus
- Upper esophageal sphincter (cricopharyngeus muscle)
- Aortic arch
- L mainstem bronchus
- Lower esophageal sphincter
- Schatzki Ring: mucosal or muscular tissue ring
Clinical Features
- Dysphagia with solid foods
- Food sticking sensation with swallowing
- Crushing chest pain with complete bolus obstruction
- "Steakhouse syndrome"
Differential Diagnosis
Dysphagia
- Oropharyngeal dysphagia
- CVA
- Parkinson's disease
- Brain stem tumors
- Degenerative disease - ALS, MS, Huntington's
- Postinfectious - polio, syphilis
- Peripheral neuropathy
- Myasthenia gravis
- Polymyositis, dermatomyositis
- Muscular dystrophy
- Esophageal dysphagia
- Achalasia
- Diffuse esophageal spasm
- Ingested foreign body
- Esophageal web
- Malignancy, mediastinal masses
- Schatzki Ring
- Scleroderma
- Strictures - peptic, radiation, chemical, medication-induced
- Vascular compression
- Zenker's diverticulum
Evaluation
- EGD
- Esophageal webs do not completely encircle the esophagus
- Barium swallow
Management
- No treatment for asymptomatic
- Food bolus removed with endoscopy
- Balloon dilation of symptomatic rings
See Also