Knoke M, Bernhardt H
Endoscopy. 1980 Nov;12(6):295-8. doi: 10.1055/s-2007-1021763.
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.
在一项对2537例上消化道内镜检查的评估中，从可见霉菌区域获取的53份有针对性的刷检样本（2.1%）培养出了酵母样真菌。46例仅食管受影响。在胃及切除术后吻合口周围，我们发现6例阳性结果。有1例在食管和胃中均有发现。对酵母样真菌的鉴定显示，43例为白色念珠菌。其他真菌培养出18次，其中光滑球拟酵母3次。在每种霉菌培养中，确定酵母样真菌的种类和药敏性很有用。每种霉菌病都应通过内镜评估其严重程度。内镜检查是诊断胃肠道霉菌病的非常重要的方法。对更容易获取的样本如咽拭子或粪便进行检查，往往可能没有用。
