Why might aggressive treatment of reflux be necessary in cases of Schatzki rings?

In cases of Schatzki rings, aggressive treatment of reflux may be necessary because reflux can contribute to the formation or worsening of these esophageal rings. Schatzki rings are typically associated with intermittent dysphagia (difficulty swallowing) and are often located at the lower esophagus. When gastroesophageal reflux occurs, it can cause inflammation and chronic irritation of the esophageal lining, potentially leading to conditions that promote the development of Schatzki rings, such as scarring and narrowing of the esophagus.

By addressing reflux aggressively, it can help to reduce the chronic irritation and inflammation in the esophagus, potentially preventing further complications associated with Schatzki rings. This treatment can also improve symptoms and decrease the risk of future esophageal strictures or rings developing. Overall, managing reflux effectively can be a crucial step in the overall care for patients with Schatzki rings, making this option the most appropriate choice.