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[Esophageal and gastric candidiasis]
1Jászberény Városi Tanács Kórház-Rendelöintézet, Röntgen-Gastroenterológiai Osztály.
Orvosi Hetilap
|February 11, 1990
Summary
Mycotic infections in the stomach and esophagus are common, especially with certain conditions. Abrasian cytology is a more effective diagnostic method for these fungal diseases.
Area of Science:
- Gastroenterology
- Mycology
- Oncology
Context:
- Mycotic diseases of the stomach and esophagus represent a significant clinical concern.
- Diagnostic challenges exist in identifying fungal infections in the upper gastrointestinal tract.
Purpose:
- To evaluate the morbidity rate of mycotic diseases in the stomach and esophagus.
- To compare the efficacy of biopsy and abrasion cytology for diagnosing these infections.
- To identify risk factors associated with increased prevalence of mycotic infections.
Summary:
- A year-long study involving 746 cytologic samplings (biopsy and abrasion) revealed a 12.3% positivity rate for mycotic diseases.
- Abrasion cytology demonstrated higher effectiveness compared to biopsy sampling.
- Candida prevalence was notably higher in patients with malignant diseases.
- Fungal infections were more frequent in individuals with low gastric acid levels, including those on H2-receptor blocking treatment.
Impact:
- Highlights the diagnostic superiority of abrasion cytology for upper GI fungal infections.
- Identifies malignancy and hypoacidity as key risk factors for mycotic infections.
- Informs clinical practice regarding screening and diagnostic approaches for gastrointestinal mycoses.