This presentation has been called the “steakhouse” or “backyard barbeque” syndrome. This ring makes the esophagus. Motility disorders. 2 [convert to ICD-9-CM] Esophageal obstruction. Diagnosis is made by endoscopy or a barium esophagram. Schatzki's ring is defined as a thin symmetric circumferential constriction composed of mucosa and submucosa at the gastroesophageal junction. If the ring becomes symptomatic, then it is usually termed a Schatzki ring, although some use the terms synonymously. 19 may differ. A Schatzki’s ring can be defined as additionally developed tissues that are formed inside the esophagus, which is actually the tube in your body that is responsible for carrying the consumed food and liquids all the way to your stomach. The Lower Esophageal Sphincter, or Schatzki's Ring. 96 It was first appreciated on barium swallow radiology, provided the oesophagus was adequately distended, 97 occurring in 6–14% of barium swallow. This ring makes the. : a local narrowing in the lower part of the esophagus that may cause dysphagia. The Schatzki ring causes the esophagus tube to get narrowed at a specific point, which lies very close to. Abstract. 1987 Apr. This ring makes the esophagus narrow in one area, close to where it meets the stomach. The lower esophageal (Schatzki) ring is the most common cause of intermittent dysphagia and food impaction [1–3]. It can make it hard to swallow. 99 mo) relative to bougie dilation (5. Because these procedures are invasive and carry. Symptomatic lower esophageal (Schatzki) rings are one of the most common causes of dysphagia and esophageal food impaction. Schatzki's ring is almost always associated with a hiatal hernia and commonly progresses to a peptic stricture. The ICD-9-CM’s Alphabetical Index default for this condition is code 750. Groskreutz, MD Chung H. Schatzki’s ring are circular membrane of mucosa and submucosa, located at Squamo-columnar junction of the esophagus. El anillo de Schatzki es un anillo delgado de tejido adicional en el extremo inferior del esófago. No need to code dysphagia as it is a. A Schatzki ring is a thin ring of tissue that forms in your esophagus, the tube that connects your mouth to your stomach. g. Since their first description in 1944[], the etiology and. The LES is a muscular ring that opens (relaxes) when you swallow. After the endoscope was withdrawn, a. A circular object, form, line, or arrangement. 2 Esophageal obstruction. OBJECTIVE. [ 13] Since the 1950s, several investigators have. Dig Dis Sci. Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia. Find more information about Esophageal disease: Osmosis Esophageal disease high-yield notes offers. The presence of peptic esophageal strictures, congenital esophageal rings, and Schatzki's rings needs to be excluded as a cause for the symptoms. iation of eosinophilic esophagitis with another disorder of esophageal morphology potentially caused by exposure to acid reflux–Schatzki ring. These rings are located just above the junction between the esophagus and the stomach. Follow-up information was available in 56 of 61 patients (mean, 75 months). The exact cause has not been firmly determined but there are some physicians who feel that Schatzki rings are caused by the long term damage that is the result from having gastroesophageal reflux disease (GERD) or stomach acid reflux. When similar growths occur in the upper (proximal) section, they. 5mm balloon. An esophageal ring can be found anywhere along the esophagus, but it usually is found in the distal esophagus. The cause of this condition is not known. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). [QxMD MEDLINE Link]. Barium swallow (esophagram) Barium. Understanding a Schatzki Ring. Schatzki ring: occurs in the distal esophagus; References - - - - - - Incoming Links. A Schatzki ring is a narrowing of the lower esophagus that can cause dysphagia, or difficulty in swallowing solid foods. Directions. 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. Schatzki's ring; Strictures; Telangiectasias; Traveler's diarrhea; Ulcerative colitis; Unexplained weight loss; Varices of the esophagus and stomach; Vomiting; Medically supervised weight reduction and evaluation prior to bariatric surgery. It has been demonstrated that more than half of patients with Schatzki's ring. K22. Browse Getty Images' premium collection of high-quality, authentic Schatzki Ring stock photos, royalty-free images, and pictures. The vast majority of them are asymptomatic. They are distinct from lower esophageal muscular rings (A rings), which are transient, smooth, circumferential indentations in the esophagus. Pathology. Schatzki's ring patients who failed to pass a 12. (717) 869-4600. This can make it hard to swallow foods. While all of these approaches are effective in the short-term, recurrence. Schatzki's ring patients were found to have a lower incidence of proven gastroesophageal reflux on 24-hour pH monitoring. Overall, one to three dilations are sufficient to relieve dysphagia in simple strictures. A careful inspection of the esophago-gastric junction with high-resolution white-light endoscopes should always be performed in patients complaining of dysphagia or recurrent food impaction. She reports no difficulties with liquids. This ring makes the esophagus narrow in one area, close to where it meets the stomach. 36(5):479-81. Set My Location. Esophageal ring (Schatzki ring) Dysphagialusoria (aberrant right subclavianartery) Other vascular ring anomalies (enlarged left atrium or aorta, aberrant vessels) Continued on next column TABLE. Odynophagia is the term for painful swallowing. The physician ultimately opined "[i]t is more likely than not that the current symptoms and diagnosis that. The Schatzki ring (SR) is the most common cause of episodic dysphagia to solid food, but its etiology and pathogenesis remain unknown. After the food moves into the stomach, the symptoms may go away. Our aim here was to compare the efficacy of single dilatation with a 54-F Savary dilator and electrosurgical ring incision for symptomatic Schatzki's rings. Schatzki rings can be mistaken for fibrotic strictures of EoE and it is therefore important to biopsy all rings and strictures to ascertain whether eosinophils are present. A Schatzki ring is a ring of tissue near the end of the food pipe (esophagus) just above the opening to the stomach. Schatzki’s ring. A Schatzki ring is a thin ring of extra tissue inside the lower end of the esophagus. Our purpose was to determine the prevalence of Barrett's esophagus in the presence of Schatzki ring. It was always at the level of the PS. 73%) patients with Schatzki ring and in 16 of 888 (1. K22. As detailed in my earlier article, the Hiatal Hernia Syndrome can (eventually) cause serious illness including respiratory and cardiac symptoms, and appears to be present in most sufferers of food and chemical allergies. When the diameter of the ring is less than 1. Incisions were made with the endoscope in the forward. Dig Dis Sci. When it causes symptoms, the usual complaint is intermittent dysphagia with ingestion of solid foods. Esophageal stricture. Schatzki's ring patients were found to have a lower incidence of proven gastroesophageal reflux on 24-hour pH monitoring. [QxMD MEDLINE Link]. The LINX Reflux Management System is a laparoscopic, fundic-sparing anti-reflux procedure indicated for patients diagnosed with Gastroesophageal Reflux Disease (GERD). 1. Barrett's esophagus was present in 3 of 409 (0. Browse Getty Images' premium collection of high-quality, authentic Schatzki Ring stock photos, royalty-free images, and pictures. Entitlement to a higher initial disability rating for dysphagia secondary to Schatzki's ring, to include gastroesophageal reflux disease (GERD) and hiatal hernia, in excess of 10 percent. Schatzki's or lower esophageal ring (LER) is one of the most common causes of solid food dysphagia. What is a Schatzki’s Ring? 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). Schatzki rings are fixed anatomic mucosal ring structures in the distal esophagus. Lookup any ICD-10 diagnosis and procedure codes. Lacerat intrns musc/fasc/tend l rng fngr at wrs/hnd lv, init; Left hand intrinsic muscle laceration, ring. Esophageal dilation can be done during an endoscopy while you are. The muscular ring, or A ring, is a thickened symmetric band of muscle that forms the upper border of the esophageal vestibule and is located. Symptomatic patients typically present with intermittent dysphagia to solids. Patients with esophageal rings or webs are usually asymptomatic. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. 2011 Jun 21. Causes. Esophageal strictures other than Schatzki ring. The esophagus is the tube that food travels down from your mouth to your stomach. (shăts′kē) [Richard Schatzki, U. The Schatzki ring was described long ago, but its cause is poorly. Follow-up information was available in 56 of 61 patients (mean, 75 months). Barrett's esophagus was present in 3 of 409 (0. The esophageal webs of Plummer-Vinson syndrome are usually in the upper esophagus and more common in women. Many approaches have been described including bougies, balloons, biopsies, and diathermic monopolar incision. For Schatzki rings, food impaction is the most common presentation besides dysphagia. C, Endoscopic appearance after incision. Late results in patients with Schatzki ring treated by endoscopic electrosurgical incision of the ring. In most cases, when a Schatzki’s Ring is found, it is. Diagnosis involves barium swallow or gastroesophageal endoscopy. Schatzki rings have also been. The esophageal mucosa was normal. Barrett's esophagus with a Schatzki ring ? Lawrence. 3, Tracheoesophageal fistula, esophageal atresia and stenosis, which describes a congenital anomaly. The patient underwent endoscopy that showed normal esophageal mucosa and a mild Schatzki ring with a 1cm hiatal hernia. In a study of 167 patients with a Schatzki ring, a hiatal hernia was detected in 97 percent . A Schatzki's ring (SR) with a residual lumen of 10 mm was diagnosed and subsequently dilated to 20 mm; no additional findings were discovered. Schatzki's rings are associated with hiatal hernia, in which part of the stomach has pushed through the diaphragm into the chest. Gastroesophageal reflux disease has been suggested as an etiology. This is an abnormal ring of tissue. Treatment options include biopsy, bougies or balloon dilatation. 2003 Feb. GERD is the medical condition in which the person’s stomach liquids shoot. The B ring marks the proximal border of a hiatal. Am J Roentgenol Radium Ther Nucl Med 1953; 70:911-922; Müller M et al. Congenital stenosis of esophagus; Schatzkis ring, congenital. Epub 2015 Nov 10. Malignancy (dysphagia localized to the pharynx is likely to be a referred symptom. Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia. It can stop the esophagus from stretching normally. There was no pathology to render a diagnosis of acid reflux. Scarring that narrows the esophagus. Within the phrenic ampulla, a mucosal ring ("B" ring) can be identified, which corresponds to the squamocolumnar junction (Z-line) or the union of the esophagus with the stomach. A Schatzki ring is a thin ring of extra tissue inside the lower end of the esophagus. Lower esophageal (Schatzki's) rings are a common cause of solid food dysphagia. Medication Summary. This is an abnormal ring of tissue. Five patients were on maintenance therapy with a proton pump inhibitor and one with an H2 blocker. Patient Information Insurance. Is the Schatzki ring a unique esophageal entity?. A Schatzki’s ring, Schatzki ring, or B ring , is a thin band of tissue that develops around the base of the esophagus — the tube connecting the mouth and the stomach. 80%) patients without. dianosis, severe reflux and stricture which was dilated. The ring is actually a short stricture which occurs as a result of gastroesophageal reflux disease. Dysphagia due to a diaphragm-like narrowing in the lower esophagus ("lower esophageal ring"). Our purpose was to determine the prevalence of Barrett's esophagus in the presence of Schatzki ring. Sometimes people may have difficulty swallowing (dysphagia). 1994 Jul;163(1):215. The Schatzki ring was named for Richard Schatzki, a renowned radiologist who described the entity with his colleague, John E. STRICTURE ESOPHAGUS AND SCHATZKI’S RING- UPPER GI TRACT- Image Based Questions#surgicaleducator #schatzki'sring #imagebasedquestions #usmle #babysurgeon #sur. OBJECTIVE. A careful inspection of the esophago-gastric junction with high-resolution white-light endoscopes should always be performed in patients complaining of dysphagia or recurrent food impaction. 2003 Feb. The esophagus is the tube that food travels down from your mouth to your stomach. Two rings have been identified in the distal esophagus. Even if the ring contains a luminal diameter greater than 13 mm, a larger bolus (such as poorly chewed meat) can become lodged at the site of esophageal narrowing. Our office will gladly accept and file your insurance. A, Endoscopic view of Schatzki ring before incision. These rings are very common, occurring in. There is a common condition in which a ring of tissue forms a narrowing within the esophagus called a Schatzki’s ring leading to difficulty swallowing. The v. [ 12] Abdominal compression during endoscopy (Bolster technique) can increase the detection rate of Schatzki rings during endoscopy. Schatzki (lower esophageal) rings are a common cause of dysphagia and esophageal food impaction. Standard treatment involves passage of a single large bougie to disrupt the ring, but symptoms recur in the majority of patients. A Schatzki ring is a thin ring of extra tissue inside the lower end of the esophagus. 2003 Feb. 26-4 ). For the foregoing reasons, the Board finds that staged ratings are applicable for the veteran's gastroesophageal reflux disease with Schatzki's ring and hiatal hernia with stricture, and that the preponderance of the evidence is in favor of the currently assigned, initial 10 percent, but no higher, evaluation for the period from August 1, 2003. A Schatzki ring is a ring of tissue near the end of the food pipe (esophagus) just above the opening to the stomach. Even if the ring contains a luminal diameter greater than 13 mm, a larger bolus (such as poorly chewed meat) can become lodged at the site of esophageal narrowing. B-Ring. 1. Because these procedures are invasive. GERD happens when the LES is weakened and malfunctions consistently, and not just when a person overeats or. The Schatzki ring can cause a narrowing of the esophagus. ” This strong vote of confidence about the safety of the electrosurgical incision, even in the hands of experts, may reflect a big leap of faith considering that the number of patients (n = 25) studied was so few. Group 1 underwent endoscopic biopsies of the ring, one biopsy in each quadrant. 1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms. Pronunciation of schatzki's ring with 2 audio pronunciations. LINX ™ is a flexible ring of small magnets placed around the lower esophageal sphincter (LES)—the strength of the magnets is precisely calibrated to help keep the. Acquired schatzkis ring; Benign esophageal stricture; Esophageal ring; Esophageal stricture; Stricture of esophagus; Terminal esophageal web; congenital stenosis or stricture of esophagus (Q39. Those with proven reflux were found to have a more efficient lower esophageal sphincter than control patients. e. Health professionals may use both “webs” and “rings” to refer to the same structure. The Pulse | Wednesday, October 23, 2019. Although most of the patients are asymptomatic, Schatzki rings are considered to be the most common cause of intermittent dysphagia for solids in adults [ 2 ]. 4. Therefore, the aims of this study were: (1) to investigate whether the lower esophageal (Schatzki) ring is associated with other esophageal disorders; (2) to determine whether dysphagia is due to the presence of SRs or additional esophageal disorders; and (3) to determine whether one of the pathogenic theories could be supported. Symptomatic lower esophageal (Schatzki) rings are one of the most common causes of dysphagia and esophageal food impaction. Schatzki's rings do not protect against acid reflux and may decrease esophageal acid clearance. Terminology. It is usually present at the squamocolumnar junction. Schatzki ring was first observed in asymptomatic patient in 1944 by Richard Schatzki who was a renowned radiologist. 2 became effective on October 1, 2023. Esophageal stricture or gross esophageal anatomic abnormalities (Schatzki’s ring, obstructive lesions, etc. She has a history of a Schatzki's ring, which has been dilated in the past. Cases and figures. 2 may differ. 1 They are usually found about 2 cm above the squamocolumnar junction and their shape may vary from one case to another and is. Although distal esophageal motor activity can be a problem, it is not a limiting factor in performance of the procedure. g. The impression was hiatal hernia with Schatzki's ring and gastroesophageal reflux. The Schatzki ring (SR) is the most common cause of episodic dysphagia to solid food, but its etiology and pathogenesis remain unknown. Comment: The clinical history (Schatzki's ring) is noted; the morphology would be compatible with that (or GERD if more distal). It maybe associated with dysphagia and respond to dilatation along with medical anti-reflux therapy. K22. Purpose: The Schatzki ring, a benign lower esophageal structural anomaly, is one of the most common causes of dysphagia and intermittent food impaction. Schatzki's rings do not protect against acid reflux and may decrease esophageal acid clearance. Congenital stenosis and stricture of esophagus. 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]. A Schatzki ring or Schatzki–Gary ring is a narrowing of the lower esophagus that can cause difficulty swallowing (dysphagia). His co-author on his article introducing his eponymous ring was John E Gary (1916-1970), a radiology colleague at Mount Auburn Hospital in Cambridge, Massachusetts, hence its occasional moniker, a Schatzki-Gary. It can be caused by gastroesophageal reflux disease, hiatal hernia, pill-induced esophagitis, or other conditions. 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. Its development is thought to be a reaction to chronic irritation of the oesophageal mucosa from gastro-oesophageal reflux and it has squamous epithelium on its upper surface and columnar. Vuyokazi Ross. Schatzki Ring stock photos are available in a variety of sizes and formats to fit your needs. 7-mm barium pill were randomized to dilatation with a 54-F Savary dilator or four quadrant incisions with a needle knife. A Schatzki ring, also called a Schatzki-Gary ring, is a narrowing of the lower oesophagus (the tube connecting your mouth to your stomach) caused by a smooth, non-cancerous ring of the gut lining or muscular tissue. Symptoms The majority of people with a Schatzki ring do not experience anyB-Ring. 2 - Schatzki's Ring: This is the primary ICD-10 code for the Schatzki ring. Dilation combined with intra lesional injections with steroids can be considered for peptic stenosis, while incisional therapy is found to be effective for Schatzki rings and anastomotic strictures. Benign esophageal strictures are a frequent challenge for the endoscopist. The narrowing is caused by a ring of mucosal tissue (which lines the esophagus) or muscular tissue. 5% of patients with the narrowed lumen and dysphagia, these rings are pathologic. Age <21; 1. Schatzki rings are ring-like benign strictures of the distal esophagus, typically occurring a few centimeters proximal to the gastroesophageal junction (GEJ). I was dialated twice while in the service. The majority of patients have no symptoms but some patients present with solid. Posts : 79. Schatz· ki ring ˈshats-kē-. Endoscopic treatment traditionally involves disruption of the ring. Sometimes people may have difficulty. L. Barrett's esophagus was present in 3 of 409 (0. It signifies the presence of a lower esophageal ring causing intermittent dysphagia (difficulty swallowing) and is often associated with gastroesophageal reflux disease (GERD). ) The etiology of lower esophageal rings is controversial; the leading theories are that they are congenital, or. The Schatzki ring or esophageal ring is congenital in origin. Schatzki ring: occurs in the distal esophagus; References - - - - - - Incoming Links. A Schatzki ring also known as Schatzki–Gary ring is a narrowing of the lower esophagus that can cause dysphagia. X-Ray Examination of the Stomach: A Description of the Roentgenologic Anatomy, Physiology and Pathology of the Esophagus, Stomach, and Duodenum. The clinical impression was dysphagia secondary to Schatzki's right. Guelrud M, Villasmil L, Mendez R. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9 Disease of esophagus; unspecified K20. . The ring. After failure of these therapeutic options stent placement can be considered. 19 became effective on October 1, 2023. 94-24 346 ) DATE ) ) On appeal from the Department of Veterans Affairs (VA) Regional Office (RO) inSchatzki's ring: long-termresults following dilation James L. Schatzki ring is a lower oesophageal mucosal ring that causes intermittent dysphagia. 2-4 SRs are believed to be distinct from strictures caused by gastroesophageal reflux disease. The videos cove. Incisions were made at 3 or 4 sites on the ring to the level of the esophageal wall (Fig. Accordingly, Schatzki's ring is sometimes found as an explanation for dysphagia. Physical examination findings are usually unremarkable in patients with Schatzki ring. 4 areas of narrowing in the. A Schatzki ring can cause chest pain or a feeling that the food is stuck and won’t move into the stomach. 2016 May; 83(5):1024-6. 7 Gastroesophageal reflux disease is not thought to be a factor in the genesis of the esophageal muscular ring. Those with proven reflux were found to have a more efficient lower esophageal sphincter than control patients. A Schatzki's type ring can be visualized satisfactorily with air insufflation of the esophageal ampulla above and the capacious hiatal hernia below the ring. Although these rings are often diagnosed fluoroscopically, patients are typically referred for dilation procedures performed by a gastroenterologist. Dysfagi betyr vanskeligheter med å svelge. While the. Continued Esophageal dysphagia, continued Other Functional dysphagia Pill esophagitis (nonsteroidal anti-inflammatory drugs, bisphosphonates, doxycycline,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. By histologic criteria, two groups of patients were. Esophageal muscular A-rings, on the other hand are extremely rare. Therapy for Schatzki rings has traditionally utilized esophageal dilation with either bougienage or balloon dilators. Objectives: Distal esophageal (Schatzki's) rings are a frequent cause of dysphagia. It is a commonly encountered cause of solid food dysphagia. 5 mm. September 2010 edited May 2016. Its prevalence ranges from 0. , Durham, N. This leads to having a hard time swallowing anything you consume, while also getting a feeling as if the food gets stuck in between. K22. 2 became effective on October 1, 2023. Patients classically present with intermittent dysphagia to solids. Depending on the diagnostic methods used, the prevalence of the ring ranges from 4 to 15% in adults [4–6], although its etiology and pathogenesis have not been fully eluci-dated. Entities previously associated with an SR include gastroesophageal reflux (GER), hiatal. If the lower esophagus is involved, it often presents as a lower esophageal stricture or ring (i. Anatomically, it represents the lower end of the esophagus. DISCUSSION The Schatzki ring isathin symmetrical web-like constriction occurring at the esophagogastric junction. 3 /5. Volume 45, Issue 3, March 1988, Pages 327-329. The ring can occur in the part of the tube near the stomach. 2012 Dec. Office Details. Conclusions: The cancer risk in patients with Barrett's esophagus has been overestimated. 73%) patients with Schatzki ring and in 16 of 888 (1. Schatzki's ring patients were found to have a lower incidence of proven gastroesophageal reflux on 24-hour pH monitoring. Usually in distal esophagus. Failure of the muscle bundle at the bottom of the esophagus to relax (achalasia). [1] Esophageal webs and rings are indentations of the esophageal wall that may partially occlude the esophageal lumen. It allows for. 500 results found. Health professionals may use both “webs” and “rings” to refer to the same structure. 19 - other international versions of ICD-10 Z87. Other causes of dysphagia to consider. tomatic Schatzki’s ring is directed toward achieving rupture of the ring; therefore, larger caliber dilators (16-20 mm) may be needed. The lower esophageal (Schatzki) ring is the most common cause of intermittent dysphagia and food impaction [1–3]. They are thought of as a pre-cancer as the risk of squamous cell carcinoma of the esophagus and pharynx is increased. Because these procedures are invasive and carry risks, including esophageal perforation, an alternative. 86 mo) ( P = 0. 1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms. noun. Clinical pathological cases in gastroenterology: Esophagus. 3 cm, dysphagia is present. 80%) patients without Schatzki ring. Gary. However, in 0. Infektionen des Ösophagus kommen überwiegend bei immunsupprimierten Patienten und Patienten mit malignen Tumoren vor. Symptoms include chest pain, regurgitation, and heartburn. 33 If a lower esophageal ring TABLE 1. Several months ago I had my second endoscopy and now have an acquired Schatzki ring. -kēz-. Hence if it is not mentioned as congenital in older patients, use 530. Channel providing free audio/video pronunciation tutorials in English and many other languages. Diagram of A, B (Schatzki), and C rings in the distal esophagus. Diagnosis is made by endoscopy or a barium esophagram. Two rings have been identified in the distal esophagus. Schatzki's Ring is a condition that causes narrowing of the ring of benign fibrous tissue constricting the lower esophagus. Doctors aren't sure exactly what causes these rings. Schatzki rings have. The vast majority of patients with lower esophageal. How is a Schatzki Ring diagnosed? The diagnosis of Schatzki ring can usually be made by barium x-ray examination of the oesophagus. Drag here to reorder. This can make it hard to swallow foods. Lawrence. Although these rings are often diagnosed fluoroscopically, patients are typically referred for dilation procedures performed by a gastroenterologist. Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia. In patients with symptoms of dysphagia, doctors usually also order an upper endoscope examination. Long-term gastroesophageal reflux disease causes chronic inflammation and thus chronic damage to the lower esophagus which may result in Schatzki's Ring.