Where is a Schatzki ring typically located?

• A. Proximal esophagus
• B. Distal esophagus
• C. Esophagogastric junction
• D. Mid esophagus

Answer: (B)

Schatzki rings are a mucosal constriction that forms in the lower part of the esophagus, right near where the esophagus meets the stomach. That places the ring in the distal esophagus, just above the gastroesophageal junction. This distal location explains why patients typically have intermittent solid-food dysphagia, especially with meals, as the ring narrows the passage only when a sizable bolus passes through.

In clinical terms, you’d expect to find a smooth, circumferential narrowing at the distal esophagus on imaging or endoscopy, rather than a lesion up higher in the mid or proximal esophagus. Dilation of the ring often relieves symptoms, and if reflux is contributing, addressing the acid exposure can help prevent recurrence.