[Accidental ingestion of dental prostheses; 2 scenarios in the management and outcome. Case reports].
BACKGROUND
Foreign body ingestion is the second cause of endoscopic emergency in the elderly, and dentures are the most frequent accidently ingested objects. Once in the stomach, their expulsion can be expected in 4 to 6 days. The treatment is wait and see in asymptomatic patients, but preventive endoscopic removal can also be performed.


OBJECTIVE
To present 2 scenarios of the outcome and treatment in patients with foreign body ingestion.


METHODS
Patient under study due to weight loss, with a denture detected by abdominal x-ray, ingested inadvertently a year ago. A laparotomy was required as extraction by colonoscopy failed, due to excessive inflammation. The second case, of 24-hour onset, was due to the ingestion of a partial denture. As duodenal endoscopy extraction was unsuccessful, the patient was kept under observation. When it did not pass the caecum, it was extracted by colonoscopy, with no further complications and shorter hospital stay.


CONCLUSIONS
Follow-up can be by simple abdominal x-ray, with endoscopic management if there is insufficient progress. In one of our cases, the outcome was unfavourable due to time of ingestion, and endoscopic management was not possible, whereas in the second case colonoscopy was performed early with success. Proper diagnostic and timely treatment mark the difference in the progression and outcome of the ingestion of foreign bodies.
Servicio de Cirugía General, Hospital Central Norte de Petróleos Mexicanos, Ciudad de México, México. Electronic address: sasf_69@hotmail.com.
Selene Artemisa
SA
Santander-Flores
Servicio de Cirugía General, Hospital Central Norte de Petróleos Mexicanos, Ciudad de México, México.
Carlos Javier
CJ
Mata-Quintero
Servicio de Cirugía General, Hospital Central Norte de Petróleos Mexicanos, Ciudad de México, México.
Ricardo
R
O'Farrill-Anzures
Servicio de Cirugía General, Hospital Central Norte de Petróleos Mexicanos, Ciudad de México, México.
Paloma
P
González-Villegas
Servicio de Cirugía General, Hospital Central Norte de Petróleos Mexicanos, Ciudad de México, México.
Iván
I
Calvo-Vázquez
Servicio de Cirugía General, Hospital Central Norte de Petróleos Mexicanos, Ciudad de México, México.
Esteban Israel
EI
Campos-Serna
D002432:Cecum; D012809:Colon, Sigmoid; D003113:Colonoscopy; D017266:Dental Prosthesis; D004435:Eating; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
Colonoscopia; Colonoscopy; Cuerpo extraño; Dental restoration; Endoscopia; Endoscopy; Foreign body; Prótesis dental; Sigmoid; Sigmoides