— of that group, 167 patients were identified with irregular z lines, be length of less than 1 cm and no dysplasia. These patients were more likely to be female (26. 3 percent. Neither of these studies demonstrated progression of an irregular z line to hgd or eac. Two to 4 biopsies were obtained with standard. — unfortunately, biopsies of an irregular or normal z line remain too common in clinical practice, representing a potential area for quality improvement. Although one study found that about 40% of cases of. — chronic esophagitis — inflammation in your esophagus — may feel like heartburn or chest pain on the lower end, or like a sore throat if it’s higher. It may make your esophagus. — when biopsies are performed, the irregular z line generally reveals gastric or intestinal metaplasia. However, there is evidence that the malignancy risk of this condition,. — an irregular z line is characterized by < 1 cm columnar tongues that extend proximal to the gastroesophageal junction, a finding that has been reported in approximately. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. — it is 32 cm from the incisors because you are 5 feet tall so the distance from your incisors to the z line would be shorter than a person who, for example, is 5 feet 8 inches. Many patients with a < 1 cm segment of columnar metaplasia in the distal esophagus, also called an irregular z line, are encountered. These patients, often referred to as patients with. Diagnosis= ≥1 cm length of columnar mucosa with intestinal metaplasia (im) do not biopsy: < 1cm displaced irregular z line. These cells may look like cancer cells in some ways, but unlike cancer, they don’t have the ability to spread to other.