Ring(s)-related esophageal meat bolus impaction: biopsy first, dilate later

Dis Esophagus. 2009;22(5):E14-6. doi: 10.1111/j.1442-2050.2008.00894.x. Epub 2008 Nov 12.

Abstract

Distal esophageal or Schatzki's rings are a common cause of intermittent solid food dysphagia requiring endoscopic dilation for relief. Similarly, eosinophilic esophagitis (EE) is a rapidly emerging disease in both children and young adults, and manifests as dysphagia to solids and/or episodic food bolus impaction. Endoscopic findings vary considerably among patients with EE, posing significant recognition and management challenges. Esophageal dilation in EE can be painful and risky. This case report describes a patient with acute food bolus impaction due to underlying Schatzki's ring and associated but clinically indolent EE, and highlights some safety aspects of esophageal dilation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy / methods
  • Deglutition Disorders / etiology*
  • Dilatation / methods
  • Eosinophilia / complications
  • Eosinophilia / pathology
  • Esophageal Stenosis / complications*
  • Esophageal Stenosis / diagnosis
  • Esophagitis / complications
  • Esophagitis / pathology
  • Esophagoscopy
  • Female
  • Foreign Bodies / etiology
  • Humans
  • Hyperplasia
  • Meat*