[2] Esophageal webs are thin 2–3 mm (0. Gastroenterology & Hepatology, 6(11): 701–704. Rings and Webs. Esophageal webs and rings are usually asymptomatic but can occasionally present with intermittent dysphagia to solids. esophageal web & rings KMLE 1) 원인 : 대개 선천성 또는 염증성 2) 증상 ⑴ 무증상. Q39. The muscles in the upper portion of the esophagus. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. This website requires cookies, and the limited processing of your personal data in order to function. The most frequent additional endoscopic finding was a sliding hiatal hernia in 95 (82%) patients. An esophageal stricture refers to the abnormal narrowing of the esophageal lumen; it often presents as dysphagia, commonly described by patients as difficulty swallowing. Sixteen (14%) of 116 patients showed esophageal webs and 3 (3%) patients had esophageal diverticula. Esophageal rings and webs are thin structures that partially occlude the esophageal lumen. The most common type of esophageal ring is a Schatzki ring, of which there are two types based on location: type A rings are located above the esophageal-gastric junction, and type B rings are at the distal. Intermittent, nonprogressive dysphagia limited to solids, particularly meat, might suggest an esophageal web or ring, such as a Schatzki ring at the esophagogastric junction (EGJ). There are two normal muscular rings within the distal esophagus: An A ring, which is typically not seen, and a B ring, located at the gastroesophageal junction. These lesions generally occur in the upper one third of the esophagus and present symptomatically in early childhood. Esophageal rings and webs are thin structures that partially occlude the esophageal lumen. It can stop the esophagus from stretching normally. They are covered entirely with squamous epithelium. Data regarding this condition is limited to mostly case reports and a few small cohort studies. Most patients with rings and webs of the esophagus have no symptoms. 057). Open mobile menu. Webs are most common in the region of the PES (Fig. A Schatzki ring or Schatzki–Gary ring is a narrowing of the lower esophagus that can cause difficulty swallowing (). Study with Quizlet and memorize flashcards containing terms like Esophageal web definition, Plummer-Vinson syndrome definition, Schatzki ring definition and more. Esophageal Webs and Rings The esophagus is a muscular tube for the propulsion of food from the pharynx to the stomach. Agarwal, MD Bruce R. In: Castell DO, ed. The esophageal webs of Plummer-Vinson syndrome are usually in the upper esophagus and more common in women. Locations (937) 320-5050; Referring Physicians;. 08–0. submucosal venous plexus: normal structure, noted anteriorly only as slightly irregular mucosa 5; Schatzki ring: occurs in the distal. Patients with recurrent symptoms from esophageal rings and webs require repeat. The B rings or Schatzki rings are located precisely at the squamocolumnar junction. However, both of these terms are often used to describe lesions that have a similar radiographic appearance. The esophagus is the tube that food travels down from your mouth to your stomach. The standard upper endoscope is. Esophageal webs have classically associated with Plummer-Vinson syndrome which is classically a triad of dysphagia, iron-deficiency anemia, and esophageal webs. An infection can be caused by bacteria, viruses, fungi, or diseases that weaken the immune system. Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. The narrowing is caused by a ring of mucosal tissue (which lines the esophagus) or muscular tissue. 8 mm) was smaller than in patients without webs (14. - Schatzki’s ring is the most. Rarely, webs develop in patients with untreated severe iron deficiency anemia ; they develop even more rarely in patients without anemia. 13) [2,3,27]. Approach to the evaluation of dysphagia in adults. Study with Quizlet and memorize flashcards containing terms like M/C/C of esophagitis, Allergic inflammatory condition of the esophagus with significant dysphagia and food impaction, Treatment for Eosinophilic Esophagitis and more. Schatzki rings are located at the gastro-esophageal junction, illustrated by the fact that there is squamous epithelium above and columnar epithelial below the ring. Diagnosis and management of esophageal rings and webs. Histology showed squamous epithelium with reactive changes infiltrated by 70 lymphocytes per high power field (400-fold magnification), particularly in the peripapillary regions. Treatment options include: balloon dilatation; bougienage during endoscopy; Differential diagnosis. Usually along anterior wall of cervical esophagus. Middle esophageal web. Histopathology. Patients with esophageal rings or webs are usually asymptomatic. Publicationdate 2007-11-26. ) The etiology of lower esophageal rings is controversial; the leading theories are that they are congenital, or. Despite the association of esophageal. 12 in) membranes of normal esophageal tissue consisting of mucosa and submucosa that can partially protrude/obstruct the esophagus. These strictures occur in the lower part of the esophagus. Learn about the causes, symptoms, and treatment options for this condition today. Posniak, MD, Wayde Nagamine, MD and Mary Olson, MD. Esophageal webs. Associated conditions. 4 is exempt from POA reporting ( Present On Admission). These webs are typically located in the cervical esophagus, although they can occur anywhere along the length of the esophagus. Esophageal rings and webs are thin structures that partially occlude the esophageal lumen. Postinflammatory states associated with infection or gastroesophage- al reflux account for a large number of acquired esophageal webs and rings. Rings or webs; Achalasia (abnormal relaxation of lower esophageal sphincter (LES) and absent distal peristalsis) Diffuse esophageal spasms (incomplete LES sphincter relaxation and progressive peristalsis) Scleroderma (absence of all peristalsis) Achalasia (bird beak apperance) Diffuse esophageal spasm (corkscrew esophagus) Strictures; Rings or. They are usually in the proximal esophagus. Summary. Marashi Nia SF, Aghaie Meybodi M, Sutton R, Bansal A, Olyaee M, Hejazi R. Treatment consists of surgically dividing the ring, generally by ligating the smaller of the 2 aortic arches. Treatment options include: balloon. Patients with esophageal rings or webs are usually asymptomatic. SympA Schatzki ring is a thin ring of extra tissue inside the lower end of the esophagus. Plummer-Vinson syndrome (PVS) is a rare entity characterized by upper esophageal webs and iron deficiency anemia. esophageal webs, which are lined on both sides by esophageal mucosa 6-8 A lower esophageal ring is a 2- to 4-mm mucosal stricture that causes a ringlike narrowing of the distal esophagus at the squamocolumnar junction that often causes dysphagia. The key imaging abnormality is esophageal webs, best seen on videofluoroscopy, although may also be seen on a barium swallow examination 1. Introduction. Histology was consistent with LyE. The area with the ring is narrower than the rest of the food pipe. PMID: 3251687 DOI: 10. Endoscopic ultrasonography is useful to distinguish TBR from other types of CES. This article discusses the epidemiology, pathogenesis, diagno. Epidemiology. Esophageal rings and webs are thin structures that partially occlude the esophageal lumen. Rings, webs and diverticula. In the case of achalasia pneumatic dilatation and laparoscopic myotomy are effective. They are also used loosely to describe certain types of muscular contractions and stenoses. Neuroma. Dysphagia and `feeding' difficulties are characteristic presenting symptoms. Congenital cartilaginous remnants. Key Words: Dysphagia, Esophagus, Rings, Webs Dysphagie due à des anneaux oesophagiens multiples RÉSUMÉ : Le cas d’un jeune homme de 27 ans, originaire de l’Arabie SaouditeStudy with Quizlet and memorize flashcards containing terms like What is gastroesophageal reflux disease?, What are some etiologies of GERD?, S/S of GERD and more. [1] Presentation Its main symptoms are pain and difficulty in swallowing ( dysphagia ). Gastrointest Endosc 1993; 39:616. These webs are typically located in the cervical esophagus, although they can occur anywhere along the length of the esophagus. Pathogenesis. 4 became effective on October 1, 2023. Europe PMC is an archive of life sciences journal literature. An esophageal ring can be found anywhere along the esophagus, but it is usually found in the distal esophagus. A Schatzki ring is a thin mucosal structure often found near the gastroesophageal junction. Its development is thought to be a reaction to chronic irritation of the esophageal mucosa from gastro-esophageal reflux and it has squamous epithelium on its upper surface and columnar epithelium on its lower surface. Rings, webs and diverticula. Overview-Disorder of food passing from mouth to upper esophagus -"transfer dysphagia" Unable to initiate swallowing Sx. Schatzki rings can often resemble a related entity called an esophageal web. 4. Strictures. An esophageal web is a thin membranous structure which may obstruct the esophageal lumen leading to dysphagia. The portion of the esophagus between these rings is termed the vestibule. It is probably less sensitive than barium radiography when diagnosing esophageal rings and webs. Raza Anees, MD Chief, GI and Hepatology VAMC raza. They occur in the lower esophagus. Webs are commonly seen in the upper part of the esophagus and rings are commonly seen in the lower part of the esophagus. read more . Swallowing can be made harder. Therapy targets underlying causes of esophageal rings and webs. esophageal vestibule), a 2-4 cm long dilatation between the A-ring and B-ring 6. That means it's a congenital heart defect. An esophageal web may indicate an esophagus at higher risk of upper esophageal and hypopharyngeal carcinoma. Aberrant vascular structures. Pharyngeal webs are rare congenital anomalies characterized by mucosal bands extending from the posterior pharyngeal wall anteriorly to the glottis, which is the opening between the vocal cords. Usually, webs are limited to the proximal (cervical) esophagus. 1. The volume, dwell time, concentration, and depth of the injury produced by the underlying. Plummer-Vinson syndrome (PVS) is a rare condition characterized by the classic triad of post-cricoid dysphagia, iron-deficiency anemia, and upper esophageal webs. thoracic: from superior thoracic aperture (T1) to the oesophageal hiatus (T10) in the diaphragm. Web implies a thin, fragile diaphragm interrupting the esophageal lumen. The A ring is rare; furthermore, it is even more rarely associated with dysphagia. 610 likes | 1. Europe PMC is an archive of life sciences journal literature. (See also Overview. Symptomatic patients typically present with intermittent dysphagia to solids. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. Other symptoms. Publicationdate 2007-11-26. Although, it wasn’t found to be more in any particular age group, most patients diagnosed with Schatzki ring or. Type A esophageal rings describe webs that involve the muscle layer of the esophageal wall and lies in close proximity to the squamo-columnar junction. Smith MS. Rings, webs and diverticula. Publication types. Diagnosis andmanagement of esophageal rings and webs. Europe PMC is an archive of life sciences journal literature. submucosal venous plexus: normal structure, noted anteriorly only as slightly irregular mucosa 5; Schatzki ring: occurs in the. Esophageal carcinomas- A. It is usually associated with diseases that may narrow the lumen of the esophagus, such as eosinophilic esophagitis, Schatzki rings, peptic strictures, webs, or cancers of the esophagus; rarely it can be seen in. An esophageal web may indicate an esophagus at higher risk of upper esophageal and hypopharyngeal carcinoma. This website requires cookies, and the limited processing of your personal data in order to function. called esophageal webs, to grow across your upper. Its recognition and management should be prompt. Demos, MD, Harold V. Rings are bands of normal esophageal tissue that form constrictions around the inside of the esophagus. [1][2] In the United Kingdom, it is known as Paterson-Brown-Kelly syndrome. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. In the case of obstructive causes of dysphagia, like esophageal rings, webs, or tumors, surgical management leads to better outcomes. An esophageal web in the cervical esophagus was identified by barium swallow and endoscopy. Esophageal rings are smooth, circumferential, thin (< 4 mm) mucosal structures in the distal esophagus at the squamocolumnar junction. Plummer–Vinson syndrome is characterized by dysphagia, iron deficiency, anemia and the presence of esophageal web or webs. Esophageal dilation seems to be therapeutic when dysphagia is present along with esophageal narrowing secondary to webs, rings or strictures. Schatzki ring). 500 results found. Europe PMC is an archive of life sciences journal literature. 2nd ed. The terminology, pathogenesis, and treatment of these esophageal leaching remain controversial. study of choice for dx esophageal webs / rings. They are thought of as a pre-cancer as the risk of squamous cell carcinoma of the esophagus and pharynx is increased. As these conditions often progress slowly, the patient may modify his or her diet to make swallowing easier. 3); Compression of. On barium swallow, they manifest as shelf-like filling defect (1--2 mm in thickness) along the anterior wall of cervical esophagus [Figure 1A]. Esophageal web – An esophageal web is a thin (<2 mm) eccentric membrane that protrudes into the esophageal lumen. Medication Summary. Medical Care. An esophageal web may indicate an esophagus at higher risk of upper esophageal and hypopharyngeal carcinoma. It can cause the food pipe, or esophagus, to narrow and make. They occur in the lower esophagus. Rings are said often to contain. An esophageal ring, or Schatzki ring, is a ring of tissue near the end of the food pipe (esophagus) just above the opening to the stomach. autoimmune disease. Note the following: After initial dilatation, aggressively treat any associated reflux disease. esophageal webs, which are lined on both sides by esophageal mucosa 6-8. They generally occur anteriorly and are considered to be more eccentric than concentric in nature. An improvement of symptoms by proton-pump inhibitors also doesn't rule out the diagnosis - it has. Therapy targets underlying causes of esophageal rings and webs. A wide spectrum of congenital anomalies may affect the upper gastrointestinal tract, including anomalies of the esophagus (eg, atresia, fistulas, webs, duplications, vascular rings), stomach (eg, congenital gastric outlet obstruction, duplications), and duodenum (eg, atresia, annular pancreas, duplications, malrotation). 6. , peptic, radiation, caustic, ischemic, congenital, postablation, and reflux strictures; Schatzki’s rings; webs; and. . A rings are a type of distal oesophageal ring. If the lower esophagus is involved, it often presents as a lower esophageal stricture or ring (i. 1038/gimo41 Published 16 May 2006. Usually, webs are limited. Esophageal webs and rings are indentations of the esophageal wall that may partially occlude the esophageal lumen. A Schatzki ring is a thin ring of tissue in your esophagus. Webs: consists of mucosa and occurs in the proximal esophagus. The portion of the esophagus between these rings is termed the vestibule. The esophagus is the tube that food travels down from your mouth to your stomach. 4 may differ. Citation, DOI, disclosures and article data. Europe PMC is an archive of life sciences journal literature. We report three cases of patients with psoriasis and. a. 4 may differ. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. Type B. Eosinophilic esophagitis (e-o-sin-o-FILL-ik uh-sof-uh-JIE-tis) is a chronic immune system disease. Europe PMC is an archive of life sciences journal literature. See full list on healthline. Acute esophageal syndromes. Endoscopic dilatation has been established as a primary therapy for CES except TBR type. Ulcers. Schatzki rings are located at the gastro-oesophageal junction, illustrated by the fact that there is squamous epithelium above and columnar epithelial below the ring. It is frequently discovered incidentally during radiographic studies for other reasons. The rings are 1 to 2 cm apart and are fixed, that is, they do not disappear with air insufflation . Plummer-Vinson syndrome: Symptoms of Plummer-Vinson syndrome include anaemia, esophageal webs, and problems swallowing. Schatzki rings with a diameter of less than 13 mm are usually associated with dysphagia [37]. Benign obstructions include esophageal webs, rings, and stenosis. Marashi Nia SF, Aghaie Meybodi M, Sutton R, Bansal A, Olyaee M, Hejazi R. Symptomatic patients typically present with intermittent dysphagia to solids. Glancy J J, Spiro HM: Lower esophageal ring. The presence of an esophageal ring is then evaluated. Esophageal webs and rings - Webs = thin membranes of squamous mucosa in mid to upper esophagus - Congenital - May be multiple - Graft versus host disease, phemphigoid, epidermolysis, bullosa, iron deficiency anemia - Plummer vincents syndrome = triad of esophageal webs, dysphagia, iron deficiency anemia. 2 - other international versions of ICD-10 K22. g. The 2024 edition of ICD-10-CM K22. Esophageal rings and webs. Rings, webs, and diverticula are among the most common anatomic anomalies of the esophagus. A barium swallow is particularly useful in delineating the cause of the esophageal lumen obstruction. k. Esophageal rings are smooth, circumferential, thin (< 4 mm) mucosal structures in the distal. An esophageal web is a thin (<2 mm) eccentric membrane that is commonly located in the anterior cervical esophagus in the postcricoid region. , achalasia, distal esophageal spasm) See “Diagnostics” in “Dysphagia”. There are two normal muscular rings within the distal esophagus: An A ring, which is typically not seen, and a B ring, located at the gastroesophageal junction. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine. treatment of webs & rings: intermittent esophageal dilatation via_____ bougie dilator. (See also Overview of Esophageal and Swallowing Disorders . They are uncommon and usually. In contrast to esophageal rings, esophageal webs are thin eccentric membranous areas of narrowing that consist of mu- cosa and submucosa. Dysphagia in stroke patients normalizes gradually and may take from three weeks to approximately six months or longer. 4 became effective on October 1, 2023. A. Mechanical bougie dilation is the standard treatment for both esophageal. It is often named “Schatzki ring”. Esophageal webs Esophageal Web An esophageal web is a thin mucosal membrane. Schatzki rings are located at the gastro-esophageal junction, illustrated by the fact that there is squamous epithelium above and columnar epithelial below the ring. Location and frequent association with peptic stricture set esophageal webs apart from Schatzki ring . The esophagus is the hollow tube that leads from the throat (pharynx) to the stomach. Two cases of this syndrome are reported in middle-aged women, which were treated over the last eight years. Thin, membranous folds formed in the esophageal lumen that can make it narrow, partially or fully blocking it is referred to as esophageal rings and webs. 2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Esophageal webs are thin, 1−2 mm shelf-like linear mural projections which are most common in the. Abstract: Plummer–Vinson syndrome (PVS), a rare clinical condition, is characterized by a triad of dysphagia, iron deficiency anemia and esophageal web in the post-cricoid region. Esophageal webs are covered with squamous epithelium. What is the most common cause of portal hypertension?The classic esophageal web occurs in the cervical esophagus, just below the cricopharyngeal muscle (Fig. Webs in the upper esophagus usually make swallowing solids difficult. An esophageal web/ring is defined as a concentric, smooth, thin (3–5 mm) extension of normal esophageal tissue consisting of mostly mucosa and sub mucosa [ 2 ]. Richard Schatzki, is a thin, circular membrane of tissue that forms in the lower esophagus, the tube that connects an individual's mouth to their stomach. An 80-year-old woman with an esophageal web causing marked narrowing of the cervical esophagus. By using the site you are agreeing to this as outlined in our privacy notice and cookie policy. Diagnostic Considerations. Acquired schatzkis ring; Benign esophageal stricture; Esophageal ring; Esophageal stricture; Stricture of esophagus; Terminal esophageal web; congenital stenosis or stricture of esophagus (Q39. An esophageal stricture refers to the abnormal narrowing of the esophageal lumen; it often presents as dysphagia, commonly described by patients as difficulty swallowing. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Pathology. A Schatzki ring causes narrowing of the canal of the esophagus (i. The hallmark symptom of esophageal rings and webs is dysphagia. It is also known as a Schatzki ring. In all patients with an esophageal ring, we perform an upper endoscopy to biopsy the esophagus for associated eosinophilic esophagitis. It was first described over a century ago. It is probably less sensitive than barium radiography when diagnosing esophageal rings and webs. 1 mm) (P = 0. Although these structural lesions are often asymptomatic, patients can develop significant problems with dysphagia, regurgitation, and aspiration. Webs and rings must be differentiated from strictures. They should not be confused with. In:Vantrappen G, Hellemans J,eds. Crossref, Medline, Google. ) The esophagus is the hollow tube that leads from the throat (pharynx) to the stomach. Esophageal webs, rings, and diverticulae Webs Webs are thin folds of mucosa seen along anterior wall of hypopharynx and proximal cervical esophagus. Webs may be found anywhere in the esophagus but are most commonly located in the proximal esophagus (Figs 10, 11). 1007/BF02424929 No abstract available. Although rare, esophageal webs occur most often in people who have untreated severe iron deficiency anemia . Differential diagnosis for esophageal rings includes esophageal webs, eosinophilic esophagitis, gastroesophageal reflux disease, as well as benign and malignant tumors of the esophagus, which can. 1007/BF02424929. A-rings, which are found a few centimeters proximal to the B-ring. The proximal part is covered with squamous. NewYork:Sprin-ger-Verlag,1974:571-589Cells in the esophagus sometimes change and no longer grow or behave normally. Unlike esophageal rings, cervical esophageal webs are not usually circumferential; rather, they are U-shaped and indent the anterior and lateral walls but spare the posterior wall. 2 may differ. PART 1 Oral cavity, pharynx and esophagus. Radiology 1975;117(1):45–47. oesophageal webs, which are lined on both sides by oesophageal mucosa 6-8. Study with Quizlet and memorize flashcards containing terms like 1) Upper GI Barium Swallow 2) Megaesophagus 3) Achalasia 4) Bird's Beak / Rat Tail ; Pyloric Sphincter REMAINED contracted 5) Loss of Esophageal Myeneric Ganglion ; Contracted 6) Food Retention ; Difficulty Swallowing ; Painful Swallowing (Odynophagia), 1) Esophageal. Other symptoms. The A ring is rare; furthermore, it is even more rarely associated with dysphagia. distinguishing factors. Since dysphagia is a symptom of many other conditions, having dysphagia may not necessarily mean that one has esophageal rings and webs. Esophageal webs are thin membranes that grow across the inside of the upper part of the esophagus and may cause difficulty swallowing (dysphagia). Clinical definition. Consider if the main symptom is dysphagia or if there is suspicion of structural abnormalities (e. In patients with esophageal dysphagia with solids, the differential diagnosis includes esophageal strictures, peptic strictures, esophageal carcinoma, EoE, esophageal webs and rings, and cardiovascular abnormalities or. Less frequent causes consist of peptic-, caustic- or radiation-induced strictures, Schatzki’s rings, esophageal diverticula, achalasia, and post-surgical complications . Have a Variety of Endoscope Options. News & PerspectiveEsophageal webs are thin membranes occurring anywhere along the esophagus. Webs are commonly seen in the upper part of the esophagus and rings (Schatzki ring being the most common) are commonly seen in the lower portion of the esophagus. Webs allegedly have a variable location, while rings are always found a few centimeters above the diaphragm. Congenital cartilaginous remnants. esophageal vestibule), a 2-4 cm long dilatation between the A-ring and B-ring 6. Since dysphagia is a symptom of many other conditions, having dysphagia may not necessarily mean that one has esophageal rings and webs. The most commonly associated disorders are esophageal stricture, hiatus hernia, esophageal web or Schatzki ring, eosinophilic esophagitis, achalasia, and tumors. A proper delineation of. Other reasons for strictures include esophageal webs or rings which are thin layers of excess tissue, esophageal. (See also Overview of Esophageal and Swallowing Disorders . The terminology, pathogenesis, and treatment of these esophageal lesions remain. Its main symptoms are pain and difficulty in swallowing ( dysphagia ). 1; erosive esophagitis, P = 0. Wu WC. Webs are identified in approximately 5-15% of patients with dysphagia undergoing barium esophagram and are also more prevalent in females. We report a case of PVS whose esophageal web was rapidly improved by iron therapy. Inflammation and infection. Treatment options include: balloon dilatation; bougienage during endoscopy; Differential diagnosis. Its development is thought to be a reaction to chronic irritation of the esophageal mucosa from gastro-esophageal reflux and it has squamous epithelium on its upper surface and columnar. It was first described over a century ago. These may occur at any level of the esophagus and typically cause difficulty swallowing. A stricture is a. Abstract. There are three normal esophageal constrictions that should not be confused for pathological. INTRODUCTION. Webs, which arise in the upper esophagus, are thin layers of cells that grow across the inside of the esophagus. (B) The web was dilated with a 20-mm-diameter, 5. K22. webs is presented separately. Esophageal webs are thin membranes occurring anywhere along the esophagus. 1) but are also seen in the cervical esophagus (Fig. The doctor passes a dilator down the throat to stretch the narrowed part of the esophagus. Esophageal webs and rings are usually located in the anterior upper esophagus and result from a variety of causes, which are either idiopathic or secondary to fibrosis from pemphigoid and epidermolysis bullosa, eosinophilic esophagitis, celiac disease, graft-versus-host disease, and Plummer-Vinson ∗ syndrome (Figs. doi: 10. If the ring remains 25 millimeters (mm) or larger , it likely will not cause. This is the American ICD-10-CM version of Q39. POA Exempt. Although it was first described as early as 1912, there is still limited knowledge about it due to the low and progressively. They are best diagnosed by barium swallow. An esophageal web is a thin, membranous tissue that forms across the inner lining of the. 3 ± 3. Barium swallow has been shown to be useful in diagnosing esophageal webs, rings, and diverticula . 1995:337-343. This article discusses the epidemiology, pathogenesis, diagno. Esophageal rings are smooth, circumferential, thin (< 4 mm) mucosal structures in the distal esophagus at the squamocolumnar junction. The Esophagus. 5. Sixteen (14%) of 116 patients showed esophageal webs and 3 (3%) patients had esophageal diverticula. Esophageal webs and rings Rings and webs are the most common structural abnormalities of the esophagus 9 , and sometimes they can cause difficulty when swallowing.