Abstract
Among 390 patients with endoscopically verified lower esophageal mucosal ring (LEMR), 22 cases were identified with previous or subsequent radiologic examinations of the esophagogastric region. Among these, it was found that 2 cases of LEMR had developed from a normal esophagus. In 3 patients, there was increasing stenosis of the LEMR. In 8 cases, the LEMR was transformed into an esophageal stricture. In 10 of the 13 cases, esophagitis of varying degree was present endoscopically. In the 9 patients exhibiting no change in the LEMR, only 1 patient had esophagitis. The data suggest that there is a potential progression from normal esophagus to lower esophageal ring to esophageal stricture that occurs in association with reflux esophagitis.
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Templeton FE:X-ray Examination of the Stomach: A Description of the Roentgenologic Anatomy, Physiology and Pathology of the Esophagus, Stomach and Duodenum. Chicago: The University of Chicago Press, 1944, pp 104–111
Schatzki R, Gary JE: Dysphagia due to a diaphragm-like localized narrowing in the lower esophagus (“lower esophageal ring”).Am J Roentgenol 70:911–922, 1953
Ingelfinger FJ, Kramer P: Dysphagia produced by a contractile ring in the lower esophagus.Gastroenterology 23:419–430, 1953
Goyal RK, Glancy JJ, Spiro HM: Lower esophageal ring.N Engl J Med 282:1298–1305, 1970
Ott DJ, Gelfand DW, Wu WC, Castell DO: Esophagogastric region and its rings.AJR 142:281–287, 1984
Keyting WS, Baker GM, McCarver RR, Daywitt AL: The lower esophagus.Am J Roentgenol 84:1070–1075, 1960
Bartlett MK, Jones CM: Surgical experience with the lower esophageal ring.Ann Surg 149:491–497, 1959
Desai DC, Rider JA, Puletti EJ, Moeller HC: Lower esophageal ring.Gastrointest Endosc 15:100–105, 1968
Schatzki R: The lower esophageal ring: long term follow-up of symptomatic and asymptomatic rings.Am J Roentgenol 90:805–810, 1963
Postlethwait RW, Musser AW: Pathology of lower esophageal web.Surg Gynecol Obstet 120:571–575, 1965
Paulson DL: Benign stricture of the esophagus secondary to gastroesophageal reflux.Ann Surg 165:765–779, 1967
Barrett NR: Benign stricture in the lower esophagus.J Thorac Cardiovasc Surg 43:703–715, 1962
Rinaldo JA, Gahagan T: The narrow lower esophageal rings: pathogenesis and physiology.Am J Dig Dis 11:257–265, 1966
Wilkins EW, Bartlett MK: Surgical treatment of the lower esophageal ring.N Engl J Med 268:461–464, 1963
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Chen, Y.M., Gelfand, D.W., Ott, D.J. et al. Natural progression of the lower esophageal mucosal ring. Gastrointest Radiol 12, 93–98 (1987). https://doi.org/10.1007/BF01885113
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DOI: https://doi.org/10.1007/BF01885113