Table 1

Classification of endoscopic procedures as urgent, semi-urgent and elective during COVID-19 outbreak

Urgent endoscopySemi-urgent endoscopy (to be discussed on a case by case basis)Elective endoscopy (deferred until further notice)
Acute gastrointestinal Bleeding
Management of perforations and leakage
Biliary sepsis
Foreign body
Gastrointestinal obstruction requiring stenting
GI access for urgent feeding
Endoscopic treatment for gastrointestinal neoplasia (EMR/ESD)
Endoscopy for highly suspicious case of cancer
Small bowel enteroscopy for occult GI bleeding
ERCP for hepatobiliary pancreatic cancers
All routine diagnostic endoscopy
All surveillance and follow-up endoscopy (Barrett’s oesophagus/polyp/IBD/gastric intestinal metaplasia/history of GI cancer)
Therapeutic endoscopy for non-cancer disease
Other ERCP cases–asymptomatic stones; therapy for chronic pancreatitis; metal stent removal/change; ampullectomy follow-up
EUS for diagnosis of benign condition
ERCP for non-malignant conditions
Endoscopic therapy for benign GI disorders (bariatric, GORD)
  • EMR, endoscopic mucosal resection; ERCP, endoscopic retrograde cholangiopancreatography; ESD, endoscopic submucosal dissection; EUS, endoscopic ultrasonography; GORD, gastro-oesophageal reflux disease; IBD, inflammatory bowel disease.