Defining the Long-Term Clinical Course and Need for Repeat Dilation for Patients With Schatzki Rings
Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia.1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms.2–4 SRs are believed to be distinct from strictures caused by gastroesophageal reflux di...
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Veröffentlicht in: | Clinical gastroenterology and hepatology 2022-03, Vol.20 (3), p.709-711.e2 |
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creator | Kamboj, Amrit K. Dilmaghani, Saam Schueler, Beth A. Barlow, John M. Katzka, David A. |
description | Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia.1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms.2–4 SRs are believed to be distinct from strictures caused by gastroesophageal reflux disease. SRs are sharply localized lesions with clearly defined margins, whereas peptic strictures have a more gradual transition between normal and abnormal esophagus to produce a funnel-shaped narrowing.5,6 Consequently, it has been assumed that repeat dilation is less common in SRs dissimilar from medically untreated peptic strictures. The study aim was to identify clinical and radiologic predictors for repeated esophageal dilations in patients with SRs and to assess if peptic stricture–like characteristics of rings correspond to need for repeat dilation. |
doi_str_mv | 10.1016/j.cgh.2021.03.040 |
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SRs are sharply localized lesions with clearly defined margins, whereas peptic strictures have a more gradual transition between normal and abnormal esophagus to produce a funnel-shaped narrowing.5,6 Consequently, it has been assumed that repeat dilation is less common in SRs dissimilar from medically untreated peptic strictures. 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SRs are sharply localized lesions with clearly defined margins, whereas peptic strictures have a more gradual transition between normal and abnormal esophagus to produce a funnel-shaped narrowing.5,6 Consequently, it has been assumed that repeat dilation is less common in SRs dissimilar from medically untreated peptic strictures. The study aim was to identify clinical and radiologic predictors for repeated esophageal dilations in patients with SRs and to assess if peptic stricture–like characteristics of rings correspond to need for repeat dilation.</description><subject>Constriction, Pathologic - complications</subject><subject>Dilatation - adverse effects</subject><subject>Esophageal Diseases</subject><subject>Esophageal Stenosis - diagnosis</subject><subject>Esophageal Stenosis - etiology</subject><subject>Humans</subject><issn>1542-3565</issn><issn>1542-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPGzEUha2qqFDKD-im8rKbmV6_4hl1VYW-pAgQBbG0PPadxOlkJrUdJPrrMSRl2dU9OjrnSPcj5D2DmgGbfVrXbrmqOXBWg6hBwitywpTkldZMvj5ooWbqmLxNaQ3AW9nqN-RYiIYJ0OKE-HPswxjGJc0rpItpXFY3GDd0PhTX2YHOp11MSO3o6QWip_0U6TVu0WZ6HgabwzQ-e1dF4pgTvQt5RX-5lc1_fwd6XabTO3LU2yHh2eGekttvX2_mP6rF5fef8y-LyglQuWqZFx0XHHTjBdNaSumY5UpY2bXctjPWQeucAoVMzcB3DFynGi214m0vpTglH_e72zj92WHKZhOSw2GwI067ZLiCpmmFBl6ibB91cUopYm-2MWxsfDAMzBNcszYFrnmCa0CYArd0Phzmd90G_UvjH80S-LwPYHnyPmA0yRUoDn2I6LLxU_jP_CPGHofk</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Kamboj, Amrit K.</creator><creator>Dilmaghani, Saam</creator><creator>Schueler, Beth A.</creator><creator>Barlow, John M.</creator><creator>Katzka, David A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8296-1029</orcidid><orcidid>https://orcid.org/0000-0003-2307-2317</orcidid></search><sort><creationdate>202203</creationdate><title>Defining the Long-Term Clinical Course and Need for Repeat Dilation for Patients With Schatzki Rings</title><author>Kamboj, Amrit K. ; Dilmaghani, Saam ; Schueler, Beth A. ; Barlow, John M. ; Katzka, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-91d3b232078d3177444c1a253a4b92a961b09cc505e1560db10cb58747529f443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Constriction, Pathologic - complications</topic><topic>Dilatation - adverse effects</topic><topic>Esophageal Diseases</topic><topic>Esophageal Stenosis - diagnosis</topic><topic>Esophageal Stenosis - etiology</topic><topic>Humans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kamboj, Amrit K.</creatorcontrib><creatorcontrib>Dilmaghani, Saam</creatorcontrib><creatorcontrib>Schueler, Beth A.</creatorcontrib><creatorcontrib>Barlow, John M.</creatorcontrib><creatorcontrib>Katzka, David A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamboj, Amrit K.</au><au>Dilmaghani, Saam</au><au>Schueler, Beth A.</au><au>Barlow, John M.</au><au>Katzka, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Defining the Long-Term Clinical Course and Need for Repeat Dilation for Patients With Schatzki Rings</atitle><jtitle>Clinical gastroenterology and hepatology</jtitle><addtitle>Clin Gastroenterol Hepatol</addtitle><date>2022-03</date><risdate>2022</risdate><volume>20</volume><issue>3</issue><spage>709</spage><epage>711.e2</epage><pages>709-711.e2</pages><issn>1542-3565</issn><eissn>1542-7714</eissn><abstract>Schatzki rings (SRs) are a well-known cause of intermittent solid-food dysphagia.1 Although some patients sustain improvement after 1 endoscopic dilation, others require repeated dilations for recurrent symptoms.2–4 SRs are believed to be distinct from strictures caused by gastroesophageal reflux disease. SRs are sharply localized lesions with clearly defined margins, whereas peptic strictures have a more gradual transition between normal and abnormal esophagus to produce a funnel-shaped narrowing.5,6 Consequently, it has been assumed that repeat dilation is less common in SRs dissimilar from medically untreated peptic strictures. The study aim was to identify clinical and radiologic predictors for repeated esophageal dilations in patients with SRs and to assess if peptic stricture–like characteristics of rings correspond to need for repeat dilation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33813073</pmid><doi>10.1016/j.cgh.2021.03.040</doi><orcidid>https://orcid.org/0000-0002-8296-1029</orcidid><orcidid>https://orcid.org/0000-0003-2307-2317</orcidid></addata></record> |
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subjects | Constriction, Pathologic - complications Dilatation - adverse effects Esophageal Diseases Esophageal Stenosis - diagnosis Esophageal Stenosis - etiology Humans |
title | Defining the Long-Term Clinical Course and Need for Repeat Dilation for Patients With Schatzki Rings |
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