Singh Parvinder, Singh Amritpal, Kant Puneet, Zonunsanga B, Kuka Amarjit Singh
Assistant Professor (Surgical Gastroenterology), Department of General Surgery.
J Clin Diagn Res. 2013 May;7(5):919-20. doi: 10.7860/JCDR/2013/5337.2976. Epub 2013 Mar 18.
Accidentally swallowed dentures can lead to severe complications in the gastrointestinal tract. Therefore, an early detection and an effective therapeutic management are important. In the era of advanced endoscopy, though the primary treatment of an impacted foreign body in the oesophagus is an endoscopic removal, a primary surgical treatment is advised for dentures with sharp hooks. Also, a prolonged impaction of dentures with sharp hooks leads to an increase in the complication rates. We are reporting a case of accidentally swallowed denture. After the diagnosis of an impacted denture was made, upper GI endoscopy revealed that an endoscopic removal was not feasible and thus, a late surgical removal was performed in the form of a transhiatal oesophagectomy and reconstruction. This case highlights the importance of an early and preferred treatment in the form of a controlled surgical intervention as compared to an endoscopic extraction for patients with impacted dentures with sharp hooks.
意外吞食假牙可导致胃肠道严重并发症。因此，早期发现和有效的治疗管理很重要。在先进内镜检查的时代，虽然食管内异物嵌顿的主要治疗方法是内镜取出，但对于带有尖锐钩状物的假牙，建议进行一期手术治疗。此外，带有尖锐钩状物的假牙长时间嵌顿会导致并发症发生率增加。我们报告一例意外吞食假牙的病例。在诊断为假牙嵌顿后，上消化道内镜检查显示内镜取出不可行，因此以经裂孔食管切除术和重建术的形式进行了晚期手术取出。该病例强调了与内镜取出相比，对于带有尖锐钩状物的嵌顿假牙患者，以可控手术干预形式进行早期和首选治疗的重要性。
