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Background and Aims. Recently, a new type of metal stent, named lumen‐apposing metal stents (LAMS), has been designed to manage pancreatic fluid collections (PFC), and a few studies have reported its efficacy and safety. Therefore, we conducted this meta‐analysis to investigate the role of LAMS for PFC. Methods. We searched the studies from PubMed, MEDLINE, Embase, and Cochrane databases from inception to May 2019. We extracted the data and analyzed the technical success, clinical success, and adverse events of LAMS to evaluate its efficacy and safety. Results. Twenty studies with 1534 patients were included. The pooled technical success, clinical success, and adverse event rates of LAMS for PFC were 96.2% (95% confidence interval (CI): 94.6%‐97.4%), 86.8% (95% CI: 83.1%‐89.8%), and 20.7% (95% CI: 16.1%‐26.1%), respectively. Eight studies including 875 patients compared the clinical …