Summary
Irregular Z lines may indicate potential distal esophageal metaplasia or Barrett esophagus
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, although the actual risk of this finding is debated.
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Endoscopy Campus provides information on the importance of taking biopsies from minimal focal changes, areas of reddening, bumps and irregularities, even when they have an “inflammatory” appearance.
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Cases of low-grade intraepithelial neoplasia, mucosal carcinoma, and high-grade intraepithelial neoplasia are discussed.
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Summary
Endoscopy Campus provides information on the importance of taking biopsies from minimal focal changes, areas of reddening, bumps and irregularities, even when they have an “inflammatory” appearance. Cases of low-grade intraepithelial neoplasia, mucosal carcinoma, and high-grade intraepithelial neoplasia are discussed, with the challenge of filtering out suspect findings from among the mass of inflammatory changes caused by reflux. Endoscopy Campus also provides a newsletter to keep patients informed and connected.
Endoscopy Campus - When the Z-line is not completely normal
endoscopy-campus.com
Summary
The Z line is a normal finding but is not seen in every study. An irregular or elevated Z line indicates potential distal esophageal metaplasia / Barrett esophagus , although the actual risk of this finding is debated
Z line | Radiology Reference Article | Radiopaedia.org
radiopaedia.org
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hopkinsmedicine.org
