What is Schatzki ring and how does it present?

• A. A mucosal ring at the gastroesophageal junction causing intermittent solid-dysphagia; typically treated with endoscopic dilation
• B. A vascular ring causing dysphagia
• C. A mucosal patch at stomach
• D. Esophageal stricture due to reflux

Answer: (A)

Schatzki ring is a thin mucosal ring located at the distal esophagus right at the gastroesophageal junction. This creates a discreet narrowing that most often leads to intermittent difficulty with swallowing solid foods, especially larger bites, rather than a steady, progressive trouble with all swallow types. Many patients notice symptoms after meals or with certain solids, and the problem is mechanical rather than a primary inflammatory or motor issue.

Because it’s a ring causing a physical constriction, the usual and most effective treatment is endoscopic dilation to widen the narrowed segment. If reflux is present, addressing acid can be helpful, but dilating the ring is the main fix. It’s not a vascular ring, a patch in the stomach, or a reflux-related esophageal stricture, which present differently and have different causes and management approaches.