title: Lumen-apposing covered self-expanding metal stent for management of benign gastrointestinal strictures.
abstract: OBJECTIVE
  Self-expanding metal stents (SEMS) are safe and effective for endoscopic management of malignant gastrointestinal strictures, but there is limited experience with their use in refractory benign strictures. We assessed the use of a new lumen-apposing covered SEMS for the management of benign gastrointestinal strictures.
  
  
  METHODS
  A single-center case-series of five patients who underwent lumen-apposing covered SEMS placement for benign gastrointestinal strictures.
  
  
  RESULTS
  Three patients had a benign gastroduodenal stricture, one had a distal colonic anastomotic stricture, and one with complete gastrojejunal anastomotic stenosis underwent endoscopic creation of a new gastrojejunostomy. None of the patients developed any immediate or delayed stent-related adverse events. In two patients, the stents were left in place indefinitely. Stents were removed from the other three patients with successful resolution of their symptoms during follow-up.
  
  
  CONCLUSIONS
  Lumen-apposing, fully covered SEMS appear to be safe and effective for management of selected benign gastrointestinal strictures.
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Shounak
authors.initials: S
authors.lastname: Majumder
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Navtej S
authors.initials: NS
authors.lastname: Buttar
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Gostout
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Levy
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: John
authors.initials: J
authors.lastname: Martin
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Bret
authors.initials: B
authors.lastname: Petersen
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Topazian
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Louis M
authors.initials: LM
authors.lastname: Wong Kee Song
authors.affiliation: Mayo Clinic - Division of Gastroenterology and Hepatology, Rochester, Minnesota, USA.
authors.forename: Barham K
authors.initials: BK
authors.lastname: Abu Dayyeh