Abstract
Six patients with symptomatic lower esophageal ring were studied by cine-fluorography and then treated by pneumatic dilatation of the esophagus. All experienced relief of dysphagia and have been followed for 3 years without recurrence of symptoms. It is concluded that pneumatic dilatation of symptomatic lower esophageal ring is the treatment of choice and offers prolonged beneficial results, making surgical correction unnecessary.
Similar content being viewed by others
References
Templeton FE: X-ray Examination of the Stomach: A description of the roentgenologic anatomy, physiology and pathology of the esophagus, stomach and duodenum. Chicago, University of Chicago Press, 1944, pp 106, 112
Ingelfinger FJ, Kramer P: Dysphagia produced by contractile ring in the lower esophagus. Gastroenterology 23:419–430, 1953
Schatzki R, Gary JE: Dysphagia due to diaphragm-like localized narrowing in lower esophagus (lower esophageal ring). Amer J Roentgen 70:911–922, 1953
Kramer P: Frequency of the symptomatic lower esophageal contractile ring. New Eng J Med 254:692–694, 1956
Wilkins EW Jr, Bartlett MK: Surgical treatment of lower esophageal ring. New Eng J Med 268:461–464, 1963
Rinaldo JA Jr, Gahagan T: Narrow lower esophageal ring: Pathogenesis and physiology. Amer J Dig Dis 11:257–265, 1966
Heitmann P, Wolf BS, Sokol EM, et al: Simultaneous cineradiographic-manometric study of distal esophagus: Small hiatal hernias and rings. Gastroenterology 50:737–753, 1966
Gary JE, Schatzki R: Radiologic examination of the gastrointestinal tract. New Eng J Med 251:1052–1058, 1954
MacMahon HE, Schatzki R, Gary JE: Pathology of a lower esophageal ring, report of a case, with autopsy, observed for nine years. New Eng J Med 259:1–8, 1958
Stiennon A: The anatomic basis for the lower esophageal contraction ring: Plication theory and its applications. Amer J Roentgen 90:811–822, 1963
Schatzki R, Gary JE: Lower esophageal ring. Amer J Roentgen 75:246–261, 1956
Harris LD, Kelly JE Jr, Kramer P: Relation of the lower esophageal ring to the esophagogastric junction. New Engl J Med 263:1232–1235, 1960
Cauthorne RT, Vanhoutte JJ, Donner MW: Study of patients with lower esophageal ring by simultaneous cineradiography and manometry. Gastroenterology 49:632–640, 1965
Rinaldo JA: The lower esophageal ring. Gastroenterology 51:1093–1094, 1966
Wiggins CA: The lower oesophageal ring. Aust Radiol 11:140–149, 1967
Raskin HF, Kurlander DJ, Kirsner JB, et al: Value of pneumatic dilator in the management of esophageal achalasia: Long term results in 62 patients. Gastroenterology 45:604–613, 1963
Mossberg SM: Lower esophageal ring treated by pneumatic dilation. Gastroenterology 48:118–121, 1965
Riegel N: Pneumatic dilatation in lower esophageal ring. New York J Med 67:1081–1084, 1967
Hyatt I: Treatment of the lower esophageal ring by pneumatic dilatation. Arch Intern Med 120:102–104, 1967
Wilkins EW, Skinner DB: Surgery of the esophagus. New Eng J Med 278:887–891, 1968
Author information
Authors and Affiliations
Additional information
Former Chief of Gastroenterology, Keesler Air Force Base, Biloxi, Miss; now Chief of Gastroenterology, Veterans Administration Hospital, Phoenix, Az
Rights and permissions
About this article
Cite this article
Sanowski, R.A., Riegel, N. Pneumatic dilatation of lower esophageal ring. Digest Dis Sci 15, 407–412 (1970). https://doi.org/10.1007/BF02283866
Issue Date:
DOI: https://doi.org/10.1007/BF02283866