Table 2

Histology in patients with normal and abnormal results on 24 hour pH monitoring

Biopsy location24 h pH results
Normal
(n=14)
Abnormal (n=16)
Z-line
Columnar mucosa
 Carditis score4.3 (0.5)3.4 (0.5)
 Neutrophils57%18%
 Mononuclear cells64%16%
 Columnar “blues”38%44%
 Goblet cells23%50%
 Surface epithelial abnormalities14%9%
 Pit epithelial abnormalities100%91%
Squamous mucosa
 Neutrophils7%8%
 Eosinophils21%16%
1–2 cm below Z-line
 Carditis score0.9 (0.5)0.6 (0.3)
  • Carditis scores were similar in biopsy specimens with squamous and columnar mucosa and those 1–2 cm below the Z-line in the normal and abnormal pH groups. The prevalence of neutrophils, eosinophils, mononuclear cells, goblet cells, alcian blue positive columnar cells (columnar “blues”), and epithelial changes was similar in patients with normal and abnormal 24 hour pH studies.