Lumen-apposing metal stents for pancreatic fluid collections: has advancing technology encouraged over-reach?

We read with great interest the article by Hamada et al 1, which provides important insights into the real-world adoption of lumen-apposing metal stents (LAMS) for pancreatic fluid collections (PFCs). This nationwide, dual-database study enhances understanding of how evolving endoscopic practice influences patient care and resource use. LAMS exemplifies the benefits of technical innovation and the need for careful evaluation of its role.