What is the typical management of a Schatzki ring?

• A. Endoscopic dilation
• B. Surgical resection
• C. Observation
• D. PPI therapy

Answer: (A)

Schatzki ring causes solid-food dysphagia due to a narrow ring at the distal esophagus near the gastroesophageal junction. The typical, most effective management is endoscopic dilation, where the narrowed segment is widened with a balloon or bougie under endoscopic guidance. This mechanical disruption relieves the obstruction and improves swallowing, and the procedure is minimally invasive with a good success rate. Some patients may need repeat dilations if symptoms recur, but surgery is rarely required. Observation alone won’t resolve the ring in someone who is symptomatic, and while proton pump inhibitor therapy can help manage reflux, it does not remove the structural narrowing of the ring.