Document Detail


Is the Schatzki ring a unique esophageal entity?
MedLine Citation:
PMID:  21734791     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To study, whether the association of Schatzki rings with other esophageal disorders support one of the theories about its etiology.
METHODS: From 1987 until 2007, all patients with newly diagnosed symptomatic Schatzki rings (SRs) were prospectively registered and followed. All of them underwent structured interviews with regards to clinical symptoms, as well as endoscopic and/or radiographic examinations. Endoscopic and radiographic studies determined the presence of an SR and additional morphological abnormalities.
RESULTS: One hundred and sixty-seven patients (125 male, 42 female) with a mean age of 57.1 ± 14.6 years were studied. All patients complained of intermittent dysphagia for solid food and 113 (79.6%) patients had a history of food impaction. Patients experienced symptoms for a mean of 4.7 ± 5.2 years before diagnosis. Only in 23.4% of the 64 patients who had endoscopic and/or radiological examinations before their first presentation to our clinic, was the SR previously diagnosed. At presentation, the mean ring diameter was 13.9 ± 4.97 mm. One hundred and sixty-two (97%) patients showed a sliding hiatal hernia. Erosive reflux esophagitis was found in 47 (28.1%) patients. Twenty-six (15.6%) of 167 patients showed single or multiple esophageal webs; five (3.0%) patients exhibited eosinophilic esophagitis; and four (2.4%) had esophageal diverticula. Four (7%) of 57 patients undergoing esophageal manometry had non-specific esophageal motility disorders.
CONCLUSION: Schatzki rings are frequently associated with additional esophageal disorders, which support the assumption of a multifactorial etiology. Despite typical symptoms, SRs might be overlooked.
Authors:
Michaela Müller; Ines Gockel; Philip Hedwig; Alexander J Eckardt; Kathrin Kuhr; Jochem König; Volker F Eckardt
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  17     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-07-07     Completed Date:  2011-09-26     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  2838-43     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Endoscopy
Esophageal Diseases / diagnosis,  pathology*,  physiopathology*,  radiography
Esophagus / pathology*,  radiography
Female
Humans
Male
Manometry
Middle Aged
Retrospective Studies
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