How should I sign it out? Problematic scenarios in Barrett's Esophagus

According to American College of Gastroenterologists (ACG), to make a diagnosis of Barrett's esophagus, the following criteria must be fulfilled:

  1. Extension of salmon-colored mucosa into the tubular esophagus extending at least 1 cm proximal to the gastroesophageal junction - (aka- the biopsy has to state its from the distal esophagus or above, not at the GEJ)

  2. Biopsy confirmation of intestinal metaplasia - (aka- presence of goblet cells)