Table 2.
Recommendations for colonoscopy: During coronavirus disease-2019 era
| Indication | Index cases | Plan of action |
|---|---|---|
| Diagnostic colonoscopy | Bleeding PR | Defer colonoscopy Do PR/proctoscopy to exclude ano-rectal causes |
| Constipation | Defer | |
| Bloody diarrhoea IBD | Perform | |
| Chronic anaemia | Defer | |
| ? Colonic malignancy | Discuss with MDM Consider CT abdomen | |
| Surveillance colonoscopy | Postpolypectomy/colectomy Long history of IBD | Defer |
| Screening colonoscopy | Family history of colonic polyps/Ca | Defer |
| Therapeutic colonoscopy | Lower GI bleeding requiring snare polypectomy | Perform |
| ESD for large rectal polyp | Discuss with MDM and plan |
GI: Gastrointestinal, ESD: Endoscopic submucosal dissection, CT: Computed tomography, MDM: Multi disciplinary meeting, PR: Per rectal examination, IBD: Inflammatory bowel disease, CA: Carcinoma