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Peer-reviewedCC BY 4.0Cureus

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

  1. 1Gastroenterology and Hepatology, General Hospital of Nikaia Agios Panteleimon, Athens, GRC

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.

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BibTeX
@article{neokleous2026unexpected,
  title = {{An Unexpected Migration of a Fully Covered Self-Expandable Metal Stent (FCSEMS) Placed for Esophageal Perforation: A Case Report}},
  author = {Antonis Neokleous and Georgios Penesis and Anna Pagoni and Michael Christoulakes and Maria Tzouvala},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117488},
  url = {https://doi.org/10.7759/cureus.117488},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - An Unexpected Migration of a Fully Covered Self-Expandable Metal Stent (FCSEMS) Placed for Esophageal Perforation: A Case Report
AU  - Antonis Neokleous
AU  - Georgios Penesis
AU  - Anna Pagoni
AU  - Michael Christoulakes
AU  - Maria Tzouvala
PY  - 2026
DA  - 2026/10/05
JO  - Cureus
DO  - 10.7759/cureus.117488
UR  - https://doi.org/10.7759/cureus.117488
AB  - 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.
SN  - 2168-8184
ER  -