Endoscopic view revealed blood in the lumen-apposing metal stent (A) with EUS revealing interlacing vessels at the distal flange (B), which was treated by interventional radiology-guided coil embolisation (C). Endoscopic view revealed blood in the lumen-apposing metal stent (A) with EUS revealing interlacing vessels at the distal flange (B), which was treated by interventional radiology-guided coil embolisation (C). Ji Young Bang et al. Gut 2017;66:2054-2056 Copyright © BMJ Publishing Group Ltd & British Society of Gastroenterology. All rights reserved.