Z line is above diaphragm

Question

Asked for Male, 34 Years

Hi, Last year I had upper endoscopy. In my repost I see Z line index at 36 cm and diaphragm about 37 cm. Can Z line index be above diaphragm by 1 cm . I see in forums it should be inline or below. Is it Ok? Please let me know.

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Pain in diaphragm area Eventration Of Diaphragm

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Dr. Neha Shah Bariatric Surgeon 21 yrs exp Chennai · Accepted Answer

Dr. Neha Shah

Bariatric Surgeon 21 yrs exp Chennai

Yes Z line represents lower esophageal sphincter and it has to be below diaphragm. If Z line is above diaphragm then it is sliding hiatus hernia. Pts have symptoms of reflux . Its called gastro esophageal reflux disease. It has to be treated.

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