A 50 year old male presented with intermittent solid food dysphagia.Barium Swallow examination of the esophagus is shown in the image.What can be the most probable diagnosis?
A. Oesophageal Stricture
B. Esophageal Carcinoma
C. Schatzki ring
D. Esophageal Stenosis
Ans:C. Schatzki ring.
The above esophagram show a Schatzki ring (red arrow) at the distal esophagus.
- Distal Esophageal rings are usually associated with episodic solid food dysphagia and are called Schatzki rings.
- Patients typically present older than 40 years, consistent with an acquired rather than congenital origin.
- Schatzki ring causes intermittent food impaction, also known as steakhouse syndrome.
Symptomatic rings are treated by dilatation.