AI Article Synopsis
- The study aimed to explore the connection between Schatzki rings, a type of esophageal condition, and other esophageal disorders to better understand their cause.
- Over a 20-year period, researchers tracked 167 patients with symptomatic Schatzki rings, finding that most experienced difficulties swallowing solid food for years prior, often without any prior diagnosis of the ring itself.
- The findings revealed that Schatzki rings often occur alongside various esophageal issues, suggesting a complex, multifactorial cause, and emphasizing that these rings can be easily missed despite clear symptoms.
Article Abstract
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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120943 | PMC |
| http://dx.doi.org/10.3748/wjg.v17.i23.2838 | DOI Listing |
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