Disclosure T. Tielleman is a consultant for ConMed. The other authors disclosed no financial relationships relative to the content of this work. Commentary Endoscopic balloon dilation (EBD) has been used as a first-line modality for the treatment of benign GI strictures. Despite its simplicity and immediate efficacy, this technique requires several treatment sessions and is associated with a significant rate of stricture recurrence. Fully covered self-expandable metal stents can be considered for resistant cases, but the risk of spontaneous stent migration is as high as 60%. Limited but reassuring data exist that evaluate lumen-apposing metal stent (LAMS) placement with EBD for the treatment of benign GI strictures. LAMS placement appears to be as effective as EBD but may require fewer procedures and may be safer. The risk of stent migration is significantly lower in comparison with fully covered self-expandable metal stents but remains a serious concern because of the significant morbidity associated with surgical stent retrieval. This case nicely highlights the value of balloon-assisted enteroscopy in the removal of distally migrated luminal stents or other foreign bodies causing bowel obstruction. Despite all advancements in our specialty, distal small-bowel evaluation remains challenging, is time consuming, and is even becoming a lost art. With the growing practice of luminal stenting, novel devices and techniques for deep small-bowel evaluation are much needed. Muhammad Arslan Baig, MD Interventional Gastroenterologist Clinical Assistant Professor of Medicine University of Texas Health Sciences Center at Tyler Tyler, Texas, USA Amy Tyberg, MD, FASGE, FACG, Associate Editor for Focal Points