Entanglement of an over-the-scope full-thickness endoscopic suturing device during stent fixation: a case series of adverse events and rescue strategies.

ABSTRACT:

Background and aims

Esophageal fully covered self-expandable metal stents (FCSEMSs) and lumen-apposing metal stents are used for the management of strictures and luminal defects. Stent fixation can minimize stent migration risk, and endoscopic suturing is an effective option. Here, we describe an adverse event of over-the-scope endoscopic suturing device entanglement during stent fixation and discuss rescue maneuvers.

Methods

Three experienced advanced endoscopists performed 5 cases of stent fixation with an over-the-scope endoscopic suturing device.

Results

Esophageal through-the-scope FCSEMSs were placed in 3 patients; all had previous radiation. During stent fixation, the needle driver was caught on the stent, out of the field of view. An argon plasma coagulator wi

SUBMITTER: Duffey K 

PROVIDER: S-EPMC12827023 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature