Doctor insights on:
Schatzki Ring Esophagus
I hear the mayo clinic had a new treatment for acid reflux. This consisted of a magnet bead type ring placed around the esophagus. Good idea?
If it works, yes: For many the alternative is a lifetime of taking acid reducers so if this stops acid and/or food from backing up from the stomach to the esophagus by recreating a pressure gradient, it sounds useful. ...Read more
See below: This is a narrowing ring of the lower part of the esophagus that can cause problems with swallowing. Assymtomatic rings usually require no treatment. Symptomatic rings may require esophageal dilatation with ballon dilators. ...Read more
I have just been told I have a sliding hiatus hernia, Schatzki b-ring and oesophageal dysmobility. Can you please explain this?
Muscle spasm: Hiatal hernia can cause spasm secondary to reflux and later enough scar tissue from the burning of the acid or enough spasm in the muscle of the esophagus can cause the ring which is a structure that might need to be dilated. The motility problem either secondary to the reflux or could be related to stress or some other etiology. It can cause problem swallowing. No surgery for that. Good luck ...Read more
Have GERD hiatal hernia had dialation xs 3 in 6month been on several meds only help awhile also have schatzki ring would I benefit the fundoloplicatio?
Maybe: Need a more complete picture of symptoms, size of hiatal hernia, and general medical condition. The ring has nothing to do with hernia or GERD. After anatomic & physiologic testing, you may be a candidate for an endoscopic procedure such as Stretta, or a surgical fundoplication. Gastric bypass is even an option in obese patients also considering weight loss surgery. Hope this helps! ...Read more
I have schatzki ring and have had dialation 3 xs in 6 month periond and the dialtion don't help have GERD hiatal hernia will fundoplication help all?
Schatzki ring hiatal hernia gerd-sphinter don't work had dialation x'3 in 6mth period last one was yesterday on meds am I candidate for fundilplcation
Not yet: The findings you describe warrant getting an esophageal manometery test to see how well the esophagus functions. If the schatzki ring is the cause of your problem then a fundollication may make it worse. First step would be the manometery. Good luck. ...Read more
I just had an upper GI endoscopy for schatzki ring. A biopsy was taken for a possibly thickened esophageal mucosa. What is the purpose of the biopsy?
Rule out cancer: A Schatzki ring is a narrowing of the lower esophagus that is caused by a ring of mucosal tissue that normally lines the esophagus. Since it occurs at a place in the esophagus that is also affected by reflux and may resemble Barrett's esophagus, which is inflammatory, biopsy can help distinguish the variety of pathologies that can be found in this area. ...Read more
Do U have Achalasia: Achalasia is defined by absent peristalsis in the esophagus & incomplete relaxation of the lower esophageal sphincter (les). It may be a "primary" esophageal motility disorder, or "secondary" to cancers invading the les (pseudoachalasia), chagas disease from reduviid bug bites, amyloidosis, sarcoidosis, eosinophilic infiltration. Similar motor abnormalities can be seen with diabetes & ciip. ...Read more
I think you are...: Referring to a zenker's diverticulum. This occurs when the lining of the esophagus herniated between constrictor muscles of the throat reducing a sack that extends into the neck. The symptoms usually consist of a fullness in the neck or throat after eating with a regurgitation of chewed foods that relieves the fullness symptoms. This is caused by the food filling the sack. ...Read more
Don't wait for sxs: Barrett's epithelium occurs as a terminal event in those with chronic gerd, but gerd symptoms may be mild or absent. Don't wait to feel sick since barrett's leads to esophagus cancer. Poorly treated barrett's can progress by replacing more & more of the esophagus lining, & can become dysplastic. Barrett's warrants surveillance endoscopy, aggressive acid suppression, & maybe ablation &/or surgery. ...Read more
Food pipe: This is the muscular structure built like a tube that connects your throat to the stomach though which food passes after you eat. ...Read more
Most commonly...: ...Drinking drain unclogger. It is mostly lye, and causes severe burns. ...Read more
It depends.: If you have had an esophageal dilatation, whether you need another one and if so how often depends on why you had to have it in the first place and whether that disease process is ongoing. If it is a peptic stricture due to reflux, keeping the reflux under good control can ward off the need for future dilatations. Stay on your medicine! Good luck. ...Read more
Lining change. ..: Of the esophagus due to acid reflux damage. The esophagus has different lining than the stomach. When it is exposed to too much acid, it changes to a lining that likes acid better i.e. Barrett's esophagus. It looks different from the regular esophagus on biopsy but can only be proven with a biopsy. A premalignant condition but chance of changing over to cancer is somewhat low. ...Read more
Emergently: In most cases a torn esophagus is an emergency (if perforated) b/c of the connection to the mediastinum where the heart and other important structures live. Concern is for bacteria or stomach contents to enter into that space and causing inflammatory reactions and infection. Thoracic and in some cases ENT surgeon would be involved in treatment. ...Read more