confusing esophageal biopsy

[yellowfin10]

I have had two months of new onset acute gerd which began after foreign travel and persisted.  I had a endoscopy and the doc commented on a possible barretts toungue at 38cm.  I went to see him after the results,and he said there is no barretts and the path results came back pretty much normal with the exception of some mild esophagitis and that there are no abnormal cells and recommended continue with prilosec 20mg BID x 6 weeks and repeat endscopy in one year.

Here are the biopsy results which seem a little scant:

irregular gastroesophageal Z line at 40cm, biopsy:
Glandular mucosa with minimal chronic inflammation and mild reactive epithelial changes.  No intestinal metaplasia identified and alcian blue-pas stain is negative for goblet cells.

I am confused on this, for he identified the barrets toungue at 38 cm, but the biopsy is at 40 cm.  Also, it mentions nothing of what the cells where of the biopsy, and I was under the impression that if it is in the esophagus it needs to be all squamos cells,and that any glandular tissue here is abnormal.  

[patient915]

I'm not sure about that, I would recommend asking your doctor or if your doctor doesn't seem helpful, ask another doctor to take a look at your results.

[yellowfin10]

Thank for for the response.  The doctor doesnt seem up for asking anymore questions for it looks like I have already asked way more than I am allotted.  I understand I have inflammation of my esophagus, but what I am trying to figure out is why do I have glandular tissue there, which from everything I ahve seen shoulndt be there, and instead everyhting should ne squamous cell?

[patient915]

Welcome to the gastroenterology community!  This probably all just means that you have some mild inflammation in your esophagus.  Doctors will usually just take biopsies from spots that look abnormal and the location in cm is just an estimate.  I would recommend following up with your doctor to discuss these results and make sure that everything is clean.