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An Unexpected Migration of a Fully Covered Self-Expandable Metal Stent (FCSEMS) Placed for Esophageal Perforation: A Case Report

Year: 2026

Type: article

Abstract: Esophageal fully covered self-expandable metal stents (FCSEMSs) are considered effective in managing perforations. Stent migration distally is a common adverse event of FCSEMSs and occurs more frequently compared to partially covered stents. Techniques, such as endoscopic suturing and over-the-scope clips (OTSCs), are used to improve retention. We report a rare case of proximal migration of FCSEMS into the pharynx that occurred unexpectedly after FCSEMS placement to seal an esophageal perforation.

Source: Cureus

DOI: 10.7759/cureus.117488

Authors: Antonis Neokleous, Georgios Penesis, Anna Pagoni, Michael Christoulakes, Maria Tzouvala

Institution: General Hospital of Nikea

Language: English

Topic: Esophageal and GI Pathology

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7220377865