We describe a 73-year-old male who developed native valve infective en
docarditis due to Staphylococcus capitis as a consequence of repeated
oesophageal dilatation. The patient was treated with appropriate antib
iotic therapy but his condition deteriorated and he died, We review 10
previously reported cases of infective endocarditis associated with u
pper endoscopy and discuss the issue of prophylaxis of high risk patie
nts prior to upper endoscopy involving various invasive procedures, e.
g. biopsy, dilatation and sclerotherapy.