Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

The Lower Esophageal Ring

The Lower Esophageal Ring Abstract In 1953, Ingelfinger and Kramer, and later Schatzki and Gary, described a ringlike narrowing of the lower esophagus which produced dysphagia.1,2 Since then, several other similar cases have been described. Here is another case report of this peculiar entity. Report of a Case A 43-year-old master sergeant was admitted to the U.S. Army Hospital, Fort Leonard Wood, Mo., on Dec. 11, 1958. For six months prior to admission he complained of intermittent, sudden, substernal pain while eating solids. The dysphagia varied from a dull ache to a sharp lancinating pain. It never lasted more than a few minutes. The patient felt relief immediately when the bolus seemed to pass an obstructed area. He would regurgitate voluntarily if the bolus did not pass promptly. (He learned to regurgitate voluntarily after years of alcoholism.) Hard boiled eggs, roast beef, bread, and most other dry foods would produce his dysphagia. There was References 1. Ingelfinger, F. J., and Kramer, P.: Dysphagia Produced by Contractile Ring in the Lower Esophagus , Gastroenterology 23:419-430 ( (March) ) 1953. 2. Schatzki, R., and Gary, J. E.: Dysphagia Due to Diaphragm-like Localized Narrowing in Lower Esophagus ("Lower Esophageal Ring") , Am. J. Roentgenol. 70:911-922 ( (Dec.) ) 1953. 3. Schatzki, R., and Gary, J. E.: Lower Esophageal Ring , Am. J. Roentgenol. 75:246-261 ( (Feb.) ) 1956. 4. Gary, J. E., and Schatzki, R.: Radiologic Examination of the Gastrointestinal Tract , New England J. Med. 251:1052-1057 ( (Dec. 23) ) 1954.Crossref 5. Bugden, W. F., and Delmonico, J. E., Jr.: Lower Esophageal Web , J. Thoracic Surg. 31:1-18 ( (Jan.) ) 1956. 6. Bugden, W. F.: Lower Esophageal Web , Am. J. Surg. 93:248-251 ( (Feb.) ) 1957.Crossref 7. Cameron, D. G.; Townsend, S. R., and McKay, J. W.: Dysphagia Due to a Lower Oesophageal Ring , Canad. M. A. J. 76:1049-1050 ( (June 15) ) 1957. 8. MacMahon, H. E.; Schatzki, R., and Gary, J. E.: Pathology of a Lower Esophageal Ring: Report of a Case, with Autopsy, Observed for Nine Years , New England J. Med. 259:1-8 ( (July 3) ) 1958.Crossref 9. Gould, D. M., and Barnhard, H. J.: Changing Concepts in Structure, Function, and Disease of Lower Esophagus , Am. J. M. Sc. 233:581-595 ( (May) ) 1957.Crossref 10. Lerche, W.: The Esophagus and Pharynx in Action: A Study of Structure in Relation to Function , Springfield, Ill., Charles C Thomas, Publisher, 1950. 11. Gould, D. M.: Personal communication to the author. 12. Poppel, M. H.; Lentino, W.; Zaino, C., and Jacobson, H. G.: Closing Mechanism of Lower Esophagus in Man: Radiological Study of Five-Hundred Unselected Patients , J.A.M.A. 161:196-198, ( (May 19) ) 1956.Crossref 13. Sweet, R. E., in discussion on Bugden, W. F., and Delmonico, J. E., Jr.: Lower Esophageal Web , J. Thoracic Surg. 31:1-18 ( (Jan.) ) 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Loading next page...
 
/lp/american-medical-association/the-lower-esophageal-ring-fLR1yZunbA

References (11)

Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1960.03770040014002
Publisher site
See Article on Publisher Site

Abstract

Abstract In 1953, Ingelfinger and Kramer, and later Schatzki and Gary, described a ringlike narrowing of the lower esophagus which produced dysphagia.1,2 Since then, several other similar cases have been described. Here is another case report of this peculiar entity. Report of a Case A 43-year-old master sergeant was admitted to the U.S. Army Hospital, Fort Leonard Wood, Mo., on Dec. 11, 1958. For six months prior to admission he complained of intermittent, sudden, substernal pain while eating solids. The dysphagia varied from a dull ache to a sharp lancinating pain. It never lasted more than a few minutes. The patient felt relief immediately when the bolus seemed to pass an obstructed area. He would regurgitate voluntarily if the bolus did not pass promptly. (He learned to regurgitate voluntarily after years of alcoholism.) Hard boiled eggs, roast beef, bread, and most other dry foods would produce his dysphagia. There was References 1. Ingelfinger, F. J., and Kramer, P.: Dysphagia Produced by Contractile Ring in the Lower Esophagus , Gastroenterology 23:419-430 ( (March) ) 1953. 2. Schatzki, R., and Gary, J. E.: Dysphagia Due to Diaphragm-like Localized Narrowing in Lower Esophagus ("Lower Esophageal Ring") , Am. J. Roentgenol. 70:911-922 ( (Dec.) ) 1953. 3. Schatzki, R., and Gary, J. E.: Lower Esophageal Ring , Am. J. Roentgenol. 75:246-261 ( (Feb.) ) 1956. 4. Gary, J. E., and Schatzki, R.: Radiologic Examination of the Gastrointestinal Tract , New England J. Med. 251:1052-1057 ( (Dec. 23) ) 1954.Crossref 5. Bugden, W. F., and Delmonico, J. E., Jr.: Lower Esophageal Web , J. Thoracic Surg. 31:1-18 ( (Jan.) ) 1956. 6. Bugden, W. F.: Lower Esophageal Web , Am. J. Surg. 93:248-251 ( (Feb.) ) 1957.Crossref 7. Cameron, D. G.; Townsend, S. R., and McKay, J. W.: Dysphagia Due to a Lower Oesophageal Ring , Canad. M. A. J. 76:1049-1050 ( (June 15) ) 1957. 8. MacMahon, H. E.; Schatzki, R., and Gary, J. E.: Pathology of a Lower Esophageal Ring: Report of a Case, with Autopsy, Observed for Nine Years , New England J. Med. 259:1-8 ( (July 3) ) 1958.Crossref 9. Gould, D. M., and Barnhard, H. J.: Changing Concepts in Structure, Function, and Disease of Lower Esophagus , Am. J. M. Sc. 233:581-595 ( (May) ) 1957.Crossref 10. Lerche, W.: The Esophagus and Pharynx in Action: A Study of Structure in Relation to Function , Springfield, Ill., Charles C Thomas, Publisher, 1950. 11. Gould, D. M.: Personal communication to the author. 12. Poppel, M. H.; Lentino, W.; Zaino, C., and Jacobson, H. G.: Closing Mechanism of Lower Esophagus in Man: Radiological Study of Five-Hundred Unselected Patients , J.A.M.A. 161:196-198, ( (May 19) ) 1956.Crossref 13. Sweet, R. E., in discussion on Bugden, W. F., and Delmonico, J. E., Jr.: Lower Esophageal Web , J. Thoracic Surg. 31:1-18 ( (Jan.) ) 1956.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Apr 1, 1960

There are no references for this article.