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Reply to letter to the editor of Gut
  1. Ji Young Bang,
  2. Shyam Varadarajulu
  1. Center for Interventional Endoscopy, Florida Hospital, Orlando, Florida, USA
  1. Correspondence to Dr Shyam Varadarajulu, Center for Interventional Endoscopy, Florida Hospital, 601 East Rollins Street, Orlando, FL 32803, USA; svaradarajulu{at}

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Dear editor,

A systematic review of studies mostly evaluating the role of fully covered self-expandable metal stents (FCSEMS) for drainage of pancreatic fluid collections (PFCs) reported a pooled adverse event rate of 23%.1 To overcome the limitations of FCSEMS and to minimise adverse events, a lumen-apposing metal stent (LAMS) was recently developed. The new stent is a single-step drainage device that is very different in design and mechanics from FCSEMS and hence warranted a change in the terminology, so that …

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  • Contributors JYB and SV drafted the manuscript.

  • Competing interests SV is a consultant for Boston Scientific and Olympus America.

  • Provenance and peer review Not commissioned; internally peer reviewed.