Long-Term Recurrence Rates Following Dilation of Symptomatic Schatzki Rings

Abstract

Single dilation of symptomatic Schatzki rings is a safe and effective therapy. However, more than half of the patients will need a second treatment. Recurrences are unrelated to initial morphological findings, age, or gender. Only the treatment with a large bougie diameter (≥52 F) showed a tendency for a longer time of remission.

Endoscopic mucoplasty for benign esophageal strictures (multiple Schatzki rings)

“…However, endoscopic dilation may be refractory in some cases. 1 Herein, we present a case with symptomatic multiple Schatzki rings not responding to pharmacotherapy and balloon dilation. We opted to perform an endoscopic mucoplasty (EMP; mucosal incision and closure), which was an effective treatment with complete symptom resolution.…”

Obliteration of symptomatic Schatzki rings with jumbo biopsy forceps (with video)

“…However, almost one third have recurrent symptoms within the first year, and up to 100% have recurrence with longer follow-up (range 4-100%). 3,[15][16][17][18][19][20] Because of the high rate of recurrence, several approaches have been tried to improve long-term outcomes. One such approach involves obtaining four-quadrant biopsies, which permits the remaining tissue to deflect distally during passage of a food bolus.…”

“…Bougienage is associated with short‐term relief of dysphagia in most patients. However, almost one third have recurrent symptoms within the first year, and up to 100% have recurrence with longer follow‐up (range 4–100%) …”