Endoscopy 1980; 12(6): 295-298
DOI: 10.1055/s-2007-1021763
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Aspects of Mycosis in the Upper Digestive Tract

M. Knoke, Hannelore Bernhardt
  • Medical Clinic of the Ernst-Moritz-Arndt-University, Greifswald/GDR (Director: Prof. Dr. sc. med. R. Nilius)
Prof. Dr. K.A. Koelsch to his 70th birthday
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Publication History

Publication Date:
17 March 2008 (online)

Summary

In an evaluation of 2537 endoscopic investigations of the upper digestive tract, yeast-like fungi were found in cultures from 53 purposive brushings (2.1 %) obtained from visible mycotic areas. In 46 cases the esophagus only was affected. In the stomach and surrounding the anastomosis after resection, we found 6 positive results. Once, findings were seen in the esophagus as well as in the stomach. Determination of the yeast-like fungi revealed Candida albicans in 43 cases. Other fungi were cultured 18 times, among them Torulopsis glabrata 3 times. In every mycosis culture it is useful to determine the species of yeast-like fungi and the drug sensitivity. Every mycosis should be assessed endoscopically with regard to its degree of severity. Endoscopy is a very important method for the diagnosis of gastrointestinal mycosis. The investigation of more easily obtainable specimens such as throat swabs or feces, may often be of no use.