Korean Journal of Gastrointestinal Endoscopy 1991;11(2): 235-239.
역류성 식도염 및 식도 열공 허니아 ( Hiatal hernia ) 를 동반한 Schatzki 환 1예 ( A Case of Schatzki Ring of Esophagus Associated with Reflux Esophagitis and Hiatal Hernia )
문종호, 김영석, 이문성, 김진홍, 조성원, 심찬섭 (Jong Ho Moon, Young Suk Kim, Moon Sung Lee, Jin Hong Kim, Sung Won Cho and Chan Sup Shim)
Abstract
The Schatzki ring, a submucosal fibrotic thickening of the lower esophagus, occurs at the squamocolumnar junction and is invariably associated with an esophageal histal hernia The ring is discrete narrowing covered with squamous epithelium on its superior aspect and columnar epithelium on its inferior aspect, with various degrees of submucosal fibrosis supporting the annulair ring. Symptoms, when present, are generally those of distal esophageal obstruction to the passage of solids and highly associated with ring diameter. The pathogenesis and etlology are obscure. But one theory suggests that they are caused by gastroesophageal reflux. The vast maiority of symptomatic Schatzki rings sre ameneble to dilation, a few patients will require surgical antireflux measures after dilatation. We have experienced a case of Schatzki ring associated with reflux esophagitis and esophageal hiatal hernia by the esophagogram after barium swallowing and endoscopy. So we report this case with brief review of the previous literatures.
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