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Ann Thorac Surg 1988;45:327-329
© 1988 The Society of Thoracic Surgeons

Articles

An Unusually Intractable Schatzki Ring

Laureano Molins, M.D.*, W. Spencer Payne, M.D.*, Alan J. Cameron, M.D., Robert L. MacCarty, M.D.

From the Section of Thoracic and Cardiovascular Surgery, the Division of Gastroenterology and Internal Medicine, and the Department of Diagnostic Radiology, Mayo Clinic and Mayo Foundation, Rochester, MN

Accepted for publication July 14, 1987.

* Address reprint requests to Dr. Payne, Mayo Clinic, 200 First St Southwest, Rochester, MN 55905

Most patients with Schatzki's ring have dysphagia that can be relieved by esophageal dilation. We report an unusual case in which dysphagia caused by a Schatzki ring could not be managed conservatively. The obstructing ring was excised through a gastrotomy approached by a left-sided thoracotomy. An antireflux procedure was done after elimination of the ring. Five years later, the patient remained symptom free.






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