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Published on: August 25, 2015
The lower esophageal ring and esophageal reflux
The American Journal of Gastroenterology
|May 1, 1978
Summary
Lower esophageal rings, a cause of dysphagia, are often linked to esophageal reflux. Managing reflux may be key to treating dysphagia associated with these rings.
Area of Science:
- Gastroenterology
- Esophageal Disorders
Background:
- Lower esophageal rings are a known cause of dysphagia in adults.
- The exact cause of lower esophageal rings remains unclear.
- Investigating the link between esophageal rings and reflux is crucial.
Purpose of the Study:
- To explore the relationship between lower esophageal rings and esophageal reflux.
- To determine if esophageal reflux plays a role in the development of lower esophageal rings.
Main Methods:
- Retrospective analysis of 18 hospitalized patients with radiologically confirmed lower esophageal rings.
- Review of endoscopic and surgical findings, including esophagitis.
- Assessment of patient-reported symptoms like pyrosis.
Main Results:
- 16 out of 18 patients (89%) showed evidence of esophageal reflux.
- Esophagitis (overt or histologic) was present in 14 patients.
- Symptoms of pyrosis or free reflux were reported by 13 patients.
Conclusions:
- Esophageal reflux is frequently associated with lower esophageal rings and may contribute to their pathogenesis.
- The presence of a lower esophageal ring should prompt consideration of esophageal reflux.
- Effective dysphagia management may require addressing both the ring and associated reflux.
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