What causes an irregular z-line other than barrett's esophagus or a hiatal hernia?

Normal variation. The z-line, where the esophagus lining connects to the stomach lining varies quite a bit from person to person. Not everyone has a straight circle -- that's why it's called the "z"-line, because an irregular border is normal. Some things that can make it more abnormal could be reflux of bile or acid into the esophagus, poor esophageal squeezing, or just a normal variation. Good health!
Esophagitis. Normally, the z line is a regular which is why it's called the z line. In other words, the line is sharply demarcated but wavy as it goes around the esophagus. Inflammation of this can blur the border as well as barrett's esophagus. A hiatal hernia has no effect on the z line per se. Hope this helps!

Related Questions

Can there be a natural remedy for acid reflux disease, barretts esophagus and hiatal hernia?

Weight loss, elevate. Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! Read more...
No. If your reflux is so severe that you have barretts, i would suggest aggressive action. Barretts is early signs of the esophagus cells changing to cancer cells. You do not want to see how little you can do, you want this fixed so you do not have esophageal cancer in 10 yrs. Read more...

4cm hiatal hernia, baretts espohegus why wont my doctor do surgery im getting very frustrated.

Find a surgeon. Medical doctors are reluctant to refer patients with reflux for surgery. 20 years ago when laparoscopy got popular, too many had bad results from inappropriate surgery. A surgeon who does enough fundoplications will know if you are a candidate for sure- i would not do too much more testing if you are correct about the combination of the hh ; barretts but others would still get manometry ; ph test. Read more...
Surgery not needed. In every one , if can be treated successfully with medical treatment , it is a premalignant condition , need close follow up is needed with frequent biopsies. . If you are unhappy with your doctor's decision take a second opinion to keep your mind at ease. Read more...