Schatzki ring in adult patients: Experience of a tertiary-stage center

Background and aim: The Schatzki ring is a ring-shaped luminal constriction in the lower part of the esophagus. In this study, we aimed to investigate the relationship of the Schatzki ring with endoscopic findings and other diseases. Material and Methods: This study was retrospectively conducted by examining the records of patients who underwent endoscopy between January 2014 and December 2015. A total of 5.000 endoscopic recordings were examined, and 104 patients with Schatzki ring were included in the study. Results: The study population consisted of 104 patients, 46 (44.2%) female and 58 (55.8%) male. The mean patient age was 60.8±14.1 years. The most frequent admission indications were dysphagia (26%), dyspepsia (38.5%), and abdominal pain (28.8%). When endoscopic findings were examined, 53.8% of patients had reflux esophagitis and 50% had hiatal hernia. Esophageal diverticulum was present in 4.8%; other esophageal web, in 1%; esophageal ulcer, in 5.7%; esophageal polyp, in 0.9%; esophageal varices, in 1.9%; esophagus motility disorder (hypertrophic lower esophageal sphincter), in 1.9%; and Barret’s esophagus, in 3.8%. Helicobacter pylori was diagnosed in 58% of patients; iron deficiency anemia, in 19%; and B12 deficiency, in 5.7%. Conclusion: The Schatzki ring is one of the important causes of intermittent dysphagia and is associated with reflux esophagitis, hiatal hernia, and iron deficiency anemia