Endoscopic ultrasound-guided pancreatic fluid collection drainage: Where are we?

Table 3 Advantages and disadvantages of metal and plastic stents for drainage of pancreatic fluid collections

Circumstance	LAMS/biflanged metal stent	Plastic stent
Advantage	One-step procedure	Low cost
	Short procedure time	No need for removal
	No need for fluoroscopy guidance	Prevents the recurrence of pseudocyst in pancreatic leak when left indefinitely
	Rapid access into the cavity with easy treatment of complications
Disadvantage	Higher cost	Multi-step procedure
	Needs removal (in all) and replacement with plastic stent (in selective cases)	Longer procedure time
		Need for fluoroscopy guidance
		High migration rate

LAMS: Lumen-apposing metal stent.