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Brief Reports |

Upper Esophageal Ring

PAUL B. LESSER, M.D., F.A.C.P.; PATRICIA MOYER, M.D.; PHILIP J. ANDREWS, M.D.; and JACK R. DREYFUSS, M.D.
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Cambridge Hospital, Cambridge, Massachusetts; Massachusetts General Hospital; and Harvard Medical School; Boston, Massachusetts


Ann Intern Med. 1978;88(5):657-658. doi:10.7326/0003-4819-88-5-657_2
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This excerpt has been provided in the absence of an abstract.

Two patients had circumferential ringlike structures that represent probable causes for dysphagia.

Patient 1: A 50-year-old Puerto Rican sugar-cane worker had quit work 2 years before admission because of the rather sudden onset of constant and painless upper dysphagia with an attendant 22.68-kg (50-lb) weight loss and weakness. Results of physical examination were unremarkable except for evidence of weight loss. Laboratory-test results were all normal including tests for collagen vascular disease.

Upper gastrointestinal series initially showed impaired motility throughout the entire esophagus. A cine-esophagogram showed a ringlike structure in the upper esophagus with a 4-mm opening. Fiberoptic endoscopy showed an

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