Therapy targets underlying causes of esophageal rings and webs. Patients typically begin having symptoms when the ring has a diameter patency less than 12. The treatment of refractory benign esophageal strictures remains a challenge for clinicians. - Schatzki ring ulcerated Endosc - Schatzki ring healed CPC Endosc - Endoscopy showing Schatzki ring dilation. The vast majority of patients with lower. The vast majority of patients with lower esophageal. Vomiting. For the X-ray, you may need to swallow a substance, such as barium, that makes it easier to see what happens in your esophagus. Therapy for Schatzki rings has traditionally utilized esophageal dilation with either bougienage or balloon dilators. or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. -kēz-. A Schatzki ring or Schatzki–Gary ring is a narrowing of the lower esophagus that can cause difficulty swallowing 1 rating rating ratings . In people with symptoms, it may cause trouble swallowing (dysphagia). Benign means that it is not caused by cancer of the esophagus. 301 Moved Permanently. Symptoms. Achalasia; Barrett's esophagusSchatzki Ring While in Leipzig, Schatzki published his “…first of numerous articles that were to have such a profound effect on gastrointestinal ra-diology” [1]. Gastroenterol Clin Biol. Pooling happens at midnight as a result of gravity drives stomachic content into the muscle system particularly within the presence of a hernia. An abnormal ring of tissue that forms where the esophagus and stomach meet (called Schatzki ring). Tumors (rarely) Symptoms of dysphagia can include: A buildup of fluids in the esophagus. The treatment of your Schatzki ring will depend on your symptoms. Cancer of the esophagus. All Osmosis Notes are clearly laid-out and contain striking images, tables, and diagrams to help visual learners understand complex topics quickly and efficiently. For Schatzki's rings associated with other conditions such as eosinophilic esophagitis and gastroesophageal reflux disease, treatment should be directed at the underlying disease after the ring. After successful disruption of the ring, symptoms recurred in only 1 patient. Esophageal strictures other than Schatzki ring. More commonly occur in the cervical esophagus near cricopharyngeus muscle than in. This chapter, appearing in the section on the pharynx and esophagus, reviews the definition, imaging techniques, differential diagnoses, and clinical issues of esophageal webs, rings, and varices, including the Schatzki ring. Edit. Trouble swallowing liquids, in severe cases. Schatzki rings are often asymptomatic until the ring becomes a small diameter . Schatzki ring and, eventually, achalasia. Dessa symtom inkluderar: svårigheter att svälja fast föda. Next: Physical Examination. A total of 291 EoE cases were included, mean age was 42 years. You may feel like food gets stuck in your esophagus. Duodenal ulcer. The purpose of this study is to report long-term results of 61 patients with Schatzki’s ring who were dilated for relief of dysphagia. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Here are a few commonly recommended approaches: 1. Spencer Payne M. Symptoms of a Schatzki ring. 2. Eat slowly in a relaxed atmosphere. Treatment and management. Symptomatic lower esophageal (Schatzki) rings are one of the most common causes of dysphagia and esophageal food impaction. Radiographically, hiatal. The Veteran's GERD with associated short segment Barrett's esophagus, and Schatzki ring, status post dilation, is rated under Code 7346, which provides for the following ratings for hiatal hernia. Skip to contentSchatzki ring: circumferential filling defect typically arising from the distal esophageal wall; Treatment of the underlying cause; Iron supplementation for Plummer-Vinson syndrome [26] Endoscopic dilation if symptoms persist despite conservative management [13] Esophageal diverticula [13] May be asymptomatic depending on the locationThe epidemiology, pathophysiology, diagnosis, treatment, and prognosis of EoE are discussed in this review. Trouble swallowing pills. An Unusually Intractable Schatzki Ring. The esophageal webs of Plummer-Vinson syndrome are usually in the upper esophagus and more common in women. A lower esophageal ring is a 2- to 4-mm mucosal stricture that causes a ringlike narrowing of the distal esophagus at the squamocolumnar junction that often causes dysphagia. Se cree que es secundario al RGE, en respuesta a la exposición ácida. Page 57 and 58: Stricture • Symptoms: - Intermitt. Chest pain. [ 1] Using a large French mercury bougie, polyvinyl bougie, or a balloon, esophageal dilatation is used with the intention of fracturing the ring—not merely stretching it. Patients often present after rapidly eating meat and drinking alcohol at a restaurant; hence, some authorities equate Schatzki ring to the "steakhouse syndrome. Treatment with stricture dilation and medications can be effective. Dysphagia to liquids is usually not present. Some doctors believe they are caused by long-term damage from reflux of stomach acid (gastroesophageal reflux disease, GERD). Schatzki’s ring is an annular constriction at the gastro-oesophageal mucosal junction, covered on its proximal side by squamous epithelium and distally by gastric mucosa. Abstract. The ring can occur in the part of the tube near the stomach. An abnormal ring of tissue that forms where the esophagus and stomach meet (called Schatzki ring). Introduction: Effective treatment for patients with symptoms of solid food dysphagia secondary to Schatzki's ring has been a widely investigated topic. Histologically, the esophageal wall consists of mucosa, submucosa, and muscularis propria. This care sheet gives you a general idea about. using barium tablet or barium-coated marshmallow. Duodenal ulcer. This will allow the medicine to wear off. Food impaction. D. In people with symptoms, it may cause trouble swallowing (dysphagia). Thanks for contributing. Vuyokazi Ross. PVS often presents with symptoms of iron deficiency anemia and dysphagia, hence the name sideropenic dysphagia. No specific drug therapy for Schatzki ring exists. , CCC-SLP. Common causes of esophageal strictures/ obstruction Gastroesophageal reflux disease (peptic) Schatzki’s ring Esophageal cancer Radiation therapy Esophageal surgerySymptoms should be thoroughly evaluated because of the risk of aspiration. Beyond eosinophilic esophagitis, there is a long list of other causes of food impactions, ranging from, in children, vascular anomalies or other congenital abnormalities. 7 •B ring (Schatzki’s B ring) – Termed Schatzki’s ring after a Boston radiologist, these rings are located at. the Mayo Clinic with the diagnosis of Schatzki's ring be tween 1980 and1984. I’d wait and see for now. If symptoms of dysphagia return, they are often indications that. Meanwhile, other mechanical causes include caustic or radiation injury, strictures, malignancy, vascular rings, and Schatzki ring. Page 59 and 60: Stricture. Common disorders seen in the Esophagus Clinic. A 58-year-old woman with iron deficiency anemia presents to her primary care physician complaining of difficulty swallowing. A Sehatzki's ring (also. Follow-up information was available in 56 of 61 patients (mean, 75 months). A feeling of something of being stuck in the throat. Many people have a Schatzki ring and do not know it, because most of the time a Schatzki rings causes no symptoms. Purpose: The Schatzki ring, a benign lower esophageal structural anomaly, is one of the most common causes of dysphagia and intermittent food impaction. Treatment. We present the case of an 82-year-old man with six months of episodic dysphagia with a Schatzki ring. A Schatzki ring is one of the many medical situations that can interfere with swallowing. Classify as structural or functional based on<br /> symptoms and signs<br /> 4. You are not logged in. This leads to having a hard time swallowing anything you consume, while also getting a feeling as if the food gets stuck in between. Schatzki rings notably do not contain a muscularis propria. After the food moves into. Schatzki's ring patients who failed to pass a 12. Significant improvements in both the ring lumen diameter and the ability to pass a tablet through the esophagus indicate that acid suppression medication is an effective alternative to the use of dilation procedures for the treatment of Schatzki rings. The pathogenesis of LER is not clear, but may be related to gastroesophageal reflux disease (GERD. Schatzki ring - x-ray; Upper gastrointestinal. Medications: Your doctor may prescribe medications to manage symptoms such as acid reducers or proton pump inhibitors. Electrosurgical incision of the ring may provide a longer duration of symptom improvement. Significant improvements in both the ring lumen diameter and the abil - ity to pass a tablet through the esophagus indicate that acid suppression medication is an ef-fective alternative to the use of dilation procedures for the treatment of Schatzki rings. Quiz on Schatzki {{ quiz. name }}. When Schatzki rings cause symptoms, they usually result in episodic difficulties with swallowing (dysphagia) solid foods, or a sensation that the food "sticks" while. A Schatzki ring can cause chest pain or a feeling that the food is stuck and won’t move into the stomach. It affects people assigned female at birth (AFAB) and people of Asian and Afro-Caribbean descent more often. OBJECTIVE. The lower esophageal (Schatzki) ring is the most common cause of intermittent dysphagia and food impaction [1–3]. These narrowings are called strictures and can occur from a variety of health problems. Images. 5 inch) in diameter or smaller. [QxMD MEDLINE Link]. This treatment is used for achalasia, esophageal stricture, motility disorders, or an irregular ring of tissue at the junction of the esophagus and stomach,. The ring appears on a prone single-contrast. 3. Schatzki ring. Esophageal stricture. Endoscopy. Arora AS, Perrault J, Smyrk TC. Esophageal Dilation- Using a large French mercury bougie, polyvinyl bougie. Herein, we present the case of a patient with SR who had a feeling. Topical corticosteroid treatment of dysphagia due to eosinophilic esophagitis in adults. Avoid deep-frying. After a. Endoscopic electrosurgical incision of the Schatzki ring is an effective therapeutic modality in selected. There are 2 types of rings in the esophagus, A rings and B rings. In the majority of cases, it does not cause any symptoms, however, it is also one of the most common causes of intermittent dysphagia and food impaction[1-3]. Chest pain. 28(11):884-6. No known population studies exist for its prevalence in the general population. Trouble swallowing liquids, in severe cases. Treatment is directed according to the dysmotility phenotype and is based upon background fitness, age and appetite to intervention. An abnormal ring of tissue that forms where the esophagus and stomach meet (called Schatzki ring). A Schatzki's ring is a ring of tissue that forms inside the esophagus, the tube that carries food and liquid to your stomach. The cause of Schatzki rings is not clearly understood. In people with symptoms, it may cause trouble swallowing (dysphagia). Swallowing is difficult and you feel food is stuck in your throat. , and W. Dysphagia is defined as objective impairment or difficulty in swallowing, resulting in an abnormal delay in the transit of a liquid or solid bolus. Esophageal Dilation- Using a large French mercury bougie, polyvinyl bougie. How is Schatzki's. 1998 Nov. A history of food impaction is also very common. Esophageal webs and rings are usually asymptomatic but can occasionally present with. or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. If reflux disease is suspected based on symptoms or endoscopic findings, consider treating with potent antisecretory agents (eg, proton pump inhibitors) in addition to antireflux precautions. Paraesophageal hernias may be symptomatic or associated with non-specific symptoms such as regurgitation, dysphagia, and cardiac pressure. Dilation of the stricture with Savary or balloon remains the first step. In contrast to an esophageal ring, peptic reflux strictures are usually. 6 ± 0. DESCRIPTION OF PROCEDURE IN DETAIL: After appropriate consent was done, the gastroscope was. Prior to treatment, the mean Schatzki ring diameter was 11 mm (range 9 to 13 mm). Der Schatzki-Ring oder Ösophagusring ist eine Folge einer pilleninduzierten Ösophagitis. Epidemiology Schatzki ring is found in 6% to 14% of barium radiographs done routinely. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to. PubMed. Surgery. 5% of all esophagrams. Medication Summary. Schatzki ring is damage associated with Eosinophilic Esophagitus. Findings differ significantly by sex, age, and procedure. • In case of symptoms, a Schatzki ring should be treated with bougienage or dilation. It can stop the esophagus from stretching normally. [QxMD MEDLINE Link]. Trouble swallowing liquids, in severe cases. CONCLUSION. After the report in 1977 by Weiss et aLl4 of endoscopic treatment of a stenotic anastomosis after gas-trectomy, we initiated a similar approach to the treatment of Schatzki ring. 5 mm. A baby who is dehydrated may cry without tears, have fewer wet diapers, and become listless. The ring often does not cause symptoms. What to Eat. MMM. The diagnosis is typically made using a contrast upper gastro-intestinal study. Schatzki-ringar är ofta asymtomatiska. The Schatzki ring’s diameter has a significant impact on the symptoms. 301 Moved Permanently. In many cases, these. Current recommendations for the treatment of Schatzki rings are largely anecdotal and lack supporting clinical data. variants or Schatzki's ring. pylori and autoimmune gastritis Most common etiologic lesions that create an environment for gastric inflammation to developINTRODUCTION. Retrospective statistical analysis of original data of Schatzki validated his major conclusions about the data. Alchetron . Narrowing (stricture) of the esophagus can cause problems. You may feel like food gets stuck in your esophagus. Keep a food journal to see if there are other allergen. OBJECTIVE. This ring makes the esophagus narrow in one area, close to where it meets the stomach. Submit. Pediatr Radiol. Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. The ring of Schatzki is essentially a circular membrane of the mucosa and submucosa of the esophagus. The ring may be easily missed on upper endoscopy. G&H Should patients with dysphagia undergo a. The ring can occur in the part of the tube near the stomach. There is a narrowing near the stomach (indicated by the arrow). Treatment is reserved for symptomatic groups when dietary measures have failed. Even though most Schatzki rings (SRs) are asymptomatic, they are considered to be the most common cause of episodic dysphagia for solids and food impaction in adults[5,6]. , ring stricture, an extrinsic mass, or a tumor) are considered to be one of the primary causes of dysphagia. Learn about the types, diagnosis, treatment, and outlook of this condition. The most common symptom is the feeling that food (especially solid food) is stuck in the lower neck or under the breastbone (sternum). Normally, the lower esophagus has a diameter of about ¾ inch (about 2 centimeters). dementia, diabetes), and subsequent studies have described less. Benign stricture in the lower esophagus. We performed a randomized controlled trial to compare the use of a single 52-Fr Maloney dilation versus four quadrant biopsy of Schatzki's ring for relief of dysphagia. " Associated symptoms of heartburn and regurgitation characteristic of gastroesophageal reflux disease may occur in some patients. Updated on Aug 20, 2022. When it causes symptoms, the usual complaint is intermittent dysphagia with ingestion of solid foods. My daughter has both Celiac and EE. SCHATZKI'S R I N G OR LOWER ESOPHAGEAL W E B : A SEMANTIC A N D SURGICAL E N I G M A Will C. Maloney dilation is the gold standard. Shatzki’s ring is a mucosal and sub-mucosal shelf located at the squamo-columnar junction and commonly associated with a hiatal hernia. Vanligtvis uppstår symtom när en Schatzki-ring har en liten diameter. You may have: Trouble swallowing food, such as meats, chewy bread, and large bites. Gastric polyps, or stomach polyps, are growths that develop in the lining of your stomach. You may feel like food gets stuck in your esophagus. Benign esophageal strictures are caused by a variety of esophageal disorders, including peptic, radiotherapy-induced and caustic injuries, Schatzki ring, eosinophilic esophagitis (EoE), and strictures after surgical resection (anastomotic) or endoscopic resection, that is, endoscopic mucosal resection and endoscopic. The ring can occur in the part of the tube near the stomach. Many years ago, Schatzki described a smooth, benign, circumferential, and narrow ring of tissue in the lower end of the esophagus (the food pipe that connects the mouth to the stomach). Sip fluids when taking solids at meals and snacks to moisten foods. The dam must be broken. The delay may be during the oropharyngeal or esophageal phase of swallowing. Conclusion: Schatzki rings are frequently associated with additional esophageal disorders, which support the assumption of a multifactorial etiology. Esophageal dilation can be done during an endoscopy while you are sedated, or with a. History and etymology. Theories about the origin of the ring includeThe purpose of this study is to report long-term results of 61 patients with Schatzki's ring who were dilated for relief of dysphagia. The most common symptom is the feeling that food (especially solid food) is stuck in the. FINDINGS OF FACT 1. After the procedure, you will stay at the hospital or surgery center for 1 to 2 hours. glucose, dextrose, and maltose. Most commonly Schatzki ring presents with intermittent, episodic, nonprogressive dysphagia to solids. Nausea. The latter is a burning discomfort behind the breastbone, often felt at night or after meals, and helped by antacid medications. This can include Schatzki ring, peptic strictures, fistula, eosinophilic esophagitis, other inflammatory processes, tumors, gastric outlet obstruction, and prior GI surgery. The Schatzki ring was named for Richard Schatzki, a renowned radiologist who described the entity with his colleague, John E. Schatzki’s ring. Trouble swallowing pills. The treatment of Schatzki ring or esophageal ring consists of medications and endoscopy. The episode of dysphagia appears to be. A Schatzki ring is a narrowing of the lower esophagus that can cause dysphagia, or difficulty in swallowing solid foods. Also referred to as a lower esophageal ring, a Schatzki ring is a 2-to-4-millimeter band of abnormal mucosal tissue that narrows the esophagus at the point where it meets the stomach. Abnormal spasms of the esophagus muscles. Usually rings of 13 millimeters (0. All patients reported subjective improvement in dysphagia symptoms. 1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms. Accordingly, Schatzki's ring is sometimes found as an explanation for dysphagia,. Lower esophageal (Schatzki) rings are found in 6%-14% of routine barium radiographs[1-4]. Many approaches have been described including bougies, balloons, biopsies, and diathermic monopolar incision. They can cause difficulty or discomfort when swallowing. It is a thin fibrous ring of tissue at the lower end of the esophagus that partially obstructs the esophagus just before it empties into the stomach. While there is no cure for Schatzki Ring, managing your symptoms with a proper diet can make a significant difference in your quality of life. A Schatzki ring is a thin ring of extra tissue inside the lower end of the esophagus. Symptoms of a Schatzki ring. If the lower esophagus is involved, it often presents as a lower esophageal stricture or ring (i. 3. Symptoms For most people, a lower esophageal ring does not cause symptoms. The likely reason for this is that in our study, major reasons for food impaction are strictures, Schatzki’s ring, which are structural abnormalities in which glucagon is known to be less effective . Treatment of Schatzki ring is done with four-quadrant biopsy, bougies or pneumatic balloon dilatation 9. Page 55 and 56: Schatzi’s Ring P. This procedure can open up narrow areas of the esophagus. A 54-year-old male with a medical history of hypertension and GERD presents to the GI clinic with a chief complaint of dysphagia for six months. It’s still over 2 weeks away. 33 If a lower esophageal ring TABLE 1. 2003 Jul. Esophageal ring (Schatzki ring) Dysphagialusoria (aberrant right subclavianartery) Other vascular ring anomalies (enlarged left atrium or aorta, aberrant vessels) Continued on next column TABLE. this can be thanks to digestive juice pooling within the muscle system secondary to passageway obstruction. GERD is a more serious form of acid reflux that lasts a long time, according to the NIH. Find more information about Esophageal disease: Osmosis Esophageal disease high-yield notes offers. rings between 13 and 20 mm may also cause symptoms, so the diagnosis of a Schatzki ring in these patients requires some knowledge of the clinical history. This procedure can open up narrow areas of the esophagus. Introduction. It can make it hard to swallow. 3, 750. Schatzki rings are fixed anatomic mucosal ring structures in the distal esophagus. If you have any of. This will allow the medicine to wear off. 2 became effective on October 1, 2023. A Schatzki's ring is a ring of tissue that forms inside the esophagus, the tube that carries food and liquid to your stomach. After treatment, the mean ring diameter increased to 15 mm (range 14 to 15 mm). e. (See also Overview of Esophageal and Swallowing Disorders . Diagram of A, B (Schatzki), and C rings in the distal esophagus. Lower oesophageal rings (also called B rings. This treatment is used for achalasia, esophageal stricture, motility disorders, or an irregular ring of tissue at the junction of the esophagus and stomach, known as Schatzki ring. It’s rare for even fixed hiatal hernias to cause symptoms. POSTOPERATIVE DIAGNOSES: 1. You can have more than one and eventually have some stricture, which they treat surgically. An esophageal stricture is an abnormal tightening of the esophagus. Eighteen of these 26 patients reported either significant or complete resolution of the dysphagia at week 3 postdilation. Schatzki ring. Some have identified an increased risk. Richard Schatski developed the “Schatzki rule” which was that a ring under 13 mm will always have symptoms and a ring larger than 25 mm will always be asymptomatic. In patients evaluated for dysphagia, detection rates range from 15% to 26%. Heartburn. Radiographic findings of Schatzki rings were typical in all cases. Lower oesophageal rings are common and is found in up to 15% of barium examinations. Schatzki’s ring, and a number of esophageal inflammatory disorders and motor disorders. The Schatzki ring is one of the most common causes of dysphagia. A Schatzki ring is a specific type of esophageal ring, and Schatzki ring. Schatzki rings are often asymptomatic until the ring becomes a small diameter . The results of examining 95 patients aged 62–92 years with the symptoms of dyspepsia in the Netanya State Geriatric Center (Israel) in 1994–2004 were analyzed. Three types of esophageal rings exist, and they are classified alphabetically as A, B, and C, as illustrated below. Symptoms Diagnosis Treatment What is Schatzki's ring? Schatzki's ring is a fibrous band of tissue that develops in and constricts the lower esophagus, possibly. Patients can present with severe chest pain and intermittent dysphagia (difficulty swallowing). The primary symptom of a Schatzki's ring is an intermittent problem of food sticking. The esophagus is the tube that food travels down from your mouth to your stomach. If you do experience any symptoms, they’re usually caused by stomach acid, bile, or air entering your. The purpose of this article is to shed more light on a man who made such a significant contribution and to chronicle developments concerning this important radiologic finding. This can include Schatzki ring, peptic strictures, fistula, eosinophilic esophagitis, other inflammatory processes, tumors, gastric outlet obstruction, and prior GI surgery. , decreased lower esophageal sphincter tone from nitrates, anticholinergics, benzodiazepines, opioids, calcium channel blockers, or tricyclic. You will be able to go home after your doctor or nurse checks to make sure that you're not having any problems. Pain or discomfort in the chest after swallowing food A Schatzki ring is a type of esophageal ring, which is an abnormal growth of epithelial tissue that sometimes forms around the inside of the esophagus. Theories about the origin of the ring include The purpose of this study is to report long-term results of 61 patients with Schatzki's ring who were dilated for relief of dysphagia. Benign esophageal stricture typically occurs when stomach acid and other irritants damage the lining of the esophagus over time. When it comes to managing Schatzki Ring symptoms, it’s essential to focus on foods that are easy to swallow and won’t irritate the esophagus. Symptoms of a Schatzki ring. Arora AS, Perrault J, Smyrk TC. Oesophageal dilators 2. T. Those with dysphagia often experience the following symptoms: coughing while eating or drinking; choking on food, fluid, or medication - Endoscopic image of ring-like strictures in EoE - Plummer Vinson syndrome - Esophageal web on barium swallow - Esophageal Schatzki ring seen on barium swallow - Achalasia: Beaking at the gastroesophageal junction - Dilation of the esophagus in a patient with achalasia - Diffuse esophageal spasm barium swallow - Corkscrew esophagus barium swallow Treatment options include: balloon dilatation; bougienage during endoscopy; Differential diagnosis. Figure 26-4 . Recurrence. Alder. What You Should Know About Schatzki Ring. Schatzki rings are fixed anatomic mucosal ring structures in the distal esophagus. A Schatzki ring or Schatzki–Gary ring is a narrowing of the lower esophagus that can cause difficulty swallowing 1 rating rating ratings . GERD is the most common cause of strictures, but cancer and other issues can also cause them. T HE esophagus, primarily because of the confusion concerning its physiology, is the site of many unexplained disorders that cause troublesome symptoms. The typical dilation size is ≥ 18 mm. Schatzki ring. Schatzki ring symptoms. Radiographic and endoscopic studies may be needed. Esophagographic Confirmation of Acid Suppression Therapy for Schatzki RingsEsophageal obstruction. We performed a retrospective case-control study with an endoscopic database. The primary symptom of a Schatzki's ring is an intermittent problem of food sticking. – A Schatzki’s ring is a thin mucosal band at the squamocolumnar junction, typically associated with a hiatal hernia. Symptomatic lower esophageal (Schatzki) rings are one of the most common causes of dysphagia and esophageal food impaction. The scar tissue may be called a Schatzki ring, or esophageal ring. Other common benign causes include Schatzki’s ring, ra-diation therapy, congenital strictures, caustic ingestion, and anastomotic strictures. Treatment of malignant strictures involves treating the underlying cause. A lower esophageal ring is a 2- to 4-mm mucosal stricture that causes a ringlike narrowing of the distal esophagus at the squamocolumnar junction that often causes dysphagia. Introduction, Etiology, Epidemiology, Pathophysiology, Histopathology, History and Physical, Evaluation, Treatment / Management, Differential Diagnosis, Prognosis, Enhancing Healthcare Team OutcomesIn terms of embryonic origin, vascular ring is a congenital anomaly in which the aortic arch and its branches completely or incompletely encircle and compress the trachea or esophagus. Find more information about Esophageal disease: Osmosis Esophageal disease high-yield notes offers. Schatz· ki ring ˈshats-kē-. Glenn Young, Jr. Schatzki ring: Associated with GERD GERD Gastroesophageal reflux disease (GERD) occurs when the stomach acid frequently flows back into the esophagus.