How do you approach a referral for findings of intestinal metaplasia on a biopsy of an irregular z-line?

It is true that intestinal metaplasia of the GEJ is not Barrett's esophagus but it increases the risk of cancer like it is in the stomach. In the last 5-10 years, it has attracted more attention. Now, pathologists are starting to describe complete vs incomplete intestinal metaplasia. A good study wi...

If there is Intestinal metaplasia on a biopsy of irregular z-line, then we call it specialized intestinal metaplasia of GEJunction. This is not Barrett's esophagus and does not require surveillance.