Esophageal candidiasis classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Esophageal candidiasis is classified according to the severity of lesions seen during endoscopy.

Classification

Kodsi grading for endoscopic severity of esophageal candidiasis:

Esophageal candidiasis is graded according to severity of the lesions on endoscopy into:[1]

  1. Grade I: few raised lesions (< 2 mm) without surrounding edema nor laceration
  2. Grade II: multiple raised lesions (> 2mm) without surrounding edema nor laceration
  3. Grade III: linear, nodular and confluent lesions
  4. Grade IV: same as grade III with narrowing of the lumen and friability of the mucosa
  5. Grade V: thick white plaque covering the lumen in circumferential manner causing narrowing of the lumen
  6. Grade VI: endoscopy can detect oropharyngeal candidiasis


References

  1. Asayama N, Nagata N, Shimbo T, Nishimura S, Igari T, Akiyama J, Ohmagari N, Hamada Y, Nishijima T, Yazaki H, Teruya K, Oka S, Uemura N (2014). "Relationship between clinical factors and severity of esophageal candidiasis according to Kodsi's classification". Dis. Esophagus. 27 (3): 214–9. doi:10.1111/dote.12102. PMID 23826847.