Table 3.

Recommendations for therapeutic endoscopic retrograde cholangio pancreatography and advanced endoscopic procedures during the coronavirus disease-2019 era

Index cases	Plan of action
Cholangitis/jaundice/severe sepsis	Perform
Gall stone pancreatitis with GB/CBD stone	Discuss/consider MRCP 1st
GB stones/small CBD stone with normal LFT	Defer and discuss with experts
Cholangio Ca with sepsis	Perform
Post cholecystectomy bile leak	Discuss with experts and plan
Pancreatic endotherapy	Defer
Spy glass cholangioscopy	Defer
EUS/guided intervention
Pancreatic head mass? Ca	Discuss with experts and plan
Pancreatic fluid collection with sepsis

CBD: Common bile duct, LFT: Liver function test, GB: Gallbladder, EUS: Endoscopic ultrasound, MRCP: Magnetic resonance cholangiopancreatography, Ca: Carcinoma