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Ann Thorac Surg 2006;81:354-356
© 2006 The Society of Thoracic Surgeons

Case report

Dysphagia in the Young Male: The Ringed Esophagus

Michael A. Smith, MD a , G. Alexander Patterson, MD b , * , Joel D. Cooper, MD b

a Department of Cardiothoracic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California
b Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri

Accepted for publication October 8, 2004.

* Address correspondence to Dr Patterson, Division of Cardiothoracic Surgery, Washington University School of Medicine, Washington University Medical Center, Suite 3108, Queeny Tower, One Barnes-Jewish Hospital Plaza, St. Louis, MO 63110-1013 (Email: pattersona{at}msnotes.wustl.edu).

The endoscopic view of the multi-ringed esophagus readily explains why the term "tracheal esophagus" is applicable. This entity may be undiagnosed until dysphagia and impactions secondary to strictures occur in the young male. Several factors point to a congenital rather than an acquired disorder. Treatment consists of slow, progressive dilatations that are repeated for recurrent dysphagia.






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Copyright © 2006 by The Society of Thoracic Surgeons.