Use of a Lumen-Apposing Metal Stent in the Management of a High-Grade Ileocolic Anastomotic Stricture

Introduction: Lumen-apposing metal stents (LAMS) were initially developed for the endoscopic management of pancreatic fluid collections; however, numerous off-label uses have been utilized, including management of anastomotic strictures (1–4). Limited data exist for its efficacy in lower gastrointestinal strictures, and its utility is limited by the ability of the gastroscope to reach the area of stricture. Small retrospective studies and case reports have shown clinical success rates upward of 85% in managing colonic anastomotic strictures (5). In this video case report, we describe our technique for the use of a LAMS for the management of a high-grade ileocolic anastomotic stricture.