Avoidance, Recognition, and Management of Complications Associated with Lumen-Apposing Metal Stents

The lumen-apposing metal stent has evolved endoscopic transluminal therapies, although it has potential complications, including maldeployment, bleeding, perforation, migration, and several risks specific to necrotizing pancreatitis. Careful planning and technique mitigate these inherent risks of lumen-apposing metal sent deployment; however, setbacks occur even in the most experienced of hands. Therefore, early recognition and management of these complications are critical to alleviating morbidity and avoiding mortality. Management frequently requires multidisciplinary effort, including advanced endoscopic technique and consultation of interventional radiologic and surgical colleagues.