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. 2020 Apr 17;8(5):E693–E698. doi: 10.1055/a-1153-9014

Table 1. Results of survey regarding timing of endoscopic procedures during COVID-19 pandemic.

Indication Most common decision Percentage of highest votes, % (n)
Gastrointestinal bleeding
  • Evaluation of melena

Everyone should have endoscopy 44.5 (438)
  • Evaluation of hematochezia

Scope patients with hemodynamic instability 61.9 (389)
  • Evaluation of upper gastrointestinal bleeding in cirrhosis

Everyone should have EGD 87.6 (410)
  • Procedures for common gastrointestinal signs and symptoms

EGD for acute onset of dysphagia 55.8 (407)
Evaluation of dysphagia
  • Evaluation of iron deficiency anemia

Defer endoscopic evaluation for now 58.3 (48)
  • Evaluation of abnormal weight loss

Defer endoscopic evaluation for now 84.7 (359)
Concerns for dysplasia/cancer
  • Colonoscopy for positive FIT/Fecal-FIT DNA (Cologuard) testing

Defer procedure for now 70 (834)
  • Ulcerative colitis with dysplasia

Defer chromoendoscopy for now 52.6 (19)
  • EMR for colon polyps

Defer colonoscopy for now 63.3 (355)
  • ESD of early gastric cancer

Defer EGD for now 58.5 (340)
  • Endoscopic therapy of dysplastic Barrett's esophagus

Defer EGD for now 50.4 (421)
  • Evaluation of double duct sign with EUS

Defer EUS for now 53.5 (368)
  • Evaluation of ampullary adenoma

Defer endoscopic resection for now 53.5 (383)
Benign [pancreatobiliary indications]
  • Evaluation of choledocholithiasis

ERCP only if abdominal pain/jaundice 35.7 (338)
  • Elective exchange of biliary stenting

Defer ERCP for now 44.1 (59)
  • Elective removal of pancreatic stent

Defer EGD/ERCP for now 66 (50)

EGD, esophagogastroduodenoscopy; FIT, fecal immunochemistry testing; EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection; EUS, endoscopic ultrasound; ERCP, endoscopic retrograde cholangiopancreatography