What is the initial treatment for Schatzki rings?

The initial treatment for Schatzki rings focuses on dilation with a bougie or balloon. Schatzki rings, which are thin membranes of tissue that can constrict the esophagus, often cause intermittent dysphagia (difficulty swallowing). Dilation is performed to widen the esophageal lumen and alleviate symptoms.

Using a bougie or balloon involves inserting a device into the esophagus to gently stretch and expand the area affected by the ring. This procedure is typically effective for immediate symptom relief and is minimally invasive compared to surgery.

Other treatment options, such as surgery, medication for reflux, or observation, may be considered later depending on the severity of the symptoms, the frequency of episodes, and the overall health of the patient. However, as an initial approach, dilation provides a direct and immediate resolution of the swallowing difficulty associated with Schatzki rings.