Schatzki Ring Follow-up

Updated: Dec 16, 2014
  • Author: Rajeev Vasudeva, MD; Chief Editor: Julian Katz, MD  more...
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Follow-up

Further Outpatient Care

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  • Recurrence of dysphagia decreases with increasing experience with dilatation.
  • Repeat esophageal dilatation with a large-bore bougie in patients whose dysphagia recurs.
  • Monitor patients in follow-up visits (eg, q1-2mo) after initial dilatation and, subsequently, on an as-needed basis.
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Inpatient & Outpatient Medications

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  • If reflux disease is suspected based on symptoms or endoscopic findings, consider proton pump inhibitors in addition to antireflux precautions.
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Complications

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  • Esophageal dilatation for esophageal rings is well established as a safe procedure based on published series; however, potential complications include perforation and bleeding.
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Prognosis

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  • Although results of dilatation are excellent, some series report that patients frequently have recurrence of dysphagia. In one study of 33 patients, 32% had recurrence at 1 year, and 89% had recurrence at 5 years.
  • No known prognostic indicators for recurrence of dysphagia exist, except for associated gastroesophageal reflux disease as reported in some studies. Other studies have refuted this contention.
  • Reassure patients that the ring is a benign entity; however, prepare them for repeat dilatation in the event of recurrence of dysphagia.
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Patient Education

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  • Practitioners may advise patients to avoid eating quickly and to chew their food well, especially meat and bread.
  • Encourage antireflux precautions in patients who have associated reflux disease.
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