{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:25:17Z","timestamp":1791257117529,"version":"4.1.0"},"reference-count":82,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Self-expanding esophageal stents (SEMS) are widely used in the management of malignant dysphagia and a variety of benign esophageal conditions. Although stent migration is a well-recognized complication, late migration -defined as occurring \u22654 weeks after stent placement- is less well characterized and may result in severe, life-threatening emergencies. These events are frequently underrecognized and not consistently addressed within current surveillance practice. Methods: A systematic review was conducted in PubMed\/MEDLINE, Embase, and Scopus databases focusing on acute clinical presentations following late esophageal stent migration. Results: Out of 343 unique articles, 53 studies were included, involving 53 patients with a median time to presentation of 3 months after stent placement, and 12.5% of cases occurring more than one year later. The gastrointestinal tract was the most frequent site of migration (64.2%), followed by airway\/respiratory (15%), thoracic (13.2%), and vascular structures (5.7%). Clinical presentations included small bowel obstruction (30.2%), gastrointestinal or thoracic perforation, respiratory failure, sepsis, and catastrophic hemorrhage. Surgical intervention was required in most cases. Overall mortality was 28.3%, with especially poor outcomes in cases complicated by vascular or airway involvement. Conclusions: Late esophageal stent migration represents a clinically significant but underrecognized cause of acute surgical emergencies. Risk-adapted surveillance, prompt diagnostic imaging, and early multidisciplinary management are essential to improve outcomes and enhance the long-term safety of esophageal stent therapy.<\/jats:p>","DOI":"10.3390\/jcm15135092","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T08:26:15Z","timestamp":1782807975000},"page":"5092","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["From Migration to Emergency: A Systematic Review of Acute Presentations Following Late Esophageal Stent Migration"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0272-3259","authenticated-orcid":false,"given":"Adam","family":"Mylonakis","sequence":"first","affiliation":[{"name":"First Department, Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Felekoura","sequence":"additional","affiliation":[{"name":"First Department, Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michail-Panagiotis","family":"Pontikas","sequence":"additional","affiliation":[{"name":"First Department, Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyros I.","family":"Siakavellas","sequence":"additional","affiliation":[{"name":"Hepatogastroenterology Unit, Second Department, Internal Medicine, National and Kapodistrian University of Athens, Hippocration General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5443-1058","authenticated-orcid":false,"given":"Chrysovalantis","family":"Vergadis","sequence":"additional","affiliation":[{"name":"Third Department, Radiology, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4398-7557","authenticated-orcid":false,"given":"Dimosthenis","family":"Chrysikos","sequence":"additional","affiliation":[{"name":"Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Koutsoumpas","sequence":"additional","affiliation":[{"name":"First Department, Gastroenterology, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7046-0112","authenticated-orcid":false,"given":"Dimitrios","family":"Schizas","sequence":"additional","affiliation":[{"name":"First Department, Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 11527 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1067\/mge.2001.118716","article-title":"Self-Expanding Metal Stents for Complicated and Recurrent Esophagogastric Cancer","volume":"54","author":"Siersema","year":"2001","journal-title":"Gastrointest. 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