Reviewed July 22, 2025

Definition

Esophageal culture is a laboratory test that checks for infection-causing germs (bacteria, viruses, or fungi) in a sample of tissue from the esophagus.

Alternative Names

Culture - esophageal

How the Test is Performed

A sample of tissue from your esophagus is needed. The sample is taken during a procedure called esophagogastroduodenoscopy (EGD). The tissue is removed by using a tiny tool or a brush at the end of the scope.

The sample is sent to a lab. There, it is placed in a special dish (culture) and watched for the growth of bacteria, fungi, or viruses.

Other tests may be done to determine what medicine can best treat the organism.

How to Prepare for the Test

Follow your health care provider's instructions on how to prepare for EGD.

How the Test will Feel

During EGD, you will receive medicine to relax you. You may have some discomfort or feel like gagging as the endoscope is passed through your mouth and throat into the esophagus. This feeling will go away shortly. You may also be given medicine (anesthesia) so that you will sleep lightly for this test. If you are asleep, you will not feel any discomfort.

Why the Test is Performed

Your provider may order this test if you have signs or symptoms of an esophageal infection or disease. You may also have the test if an ongoing infection does not get better with treatment.

Normal Results

A normal result means that no germs grew in the laboratory dish.

Normal value ranges may vary slightly among different laboratories. Talk to your provider about the meaning of your specific test results.

What Abnormal Results Mean

An abnormal result means germs grew in the laboratory dish. This is a sign of an infection of the esophagus, which may be due to bacteria, a virus, or a fungus.

Risks

Risks are related to the EGD procedure. Your provider can explain these risks.

References

Slivka A, Romutis S. Preparation for and complications of GI endoscopy. In: Chung RT, Rubin DT, Wilcox CM, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 12th ed. Philadelphia, PA: Elsevier; 2026:chap 40.

Wang KK. Gastrointestinal endoscopy. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 120.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright ©2026 A.D.A.M., Inc., as modified by University of California San Francisco. Any duplication or distribution of the information contained herein is strictly prohibited.


Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Health. Please discuss with your doctor any questions or concerns you may have.