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Guideline

SARS-CoV-2 testing and endoscopy post-vaccination: 2021 update

Guideline provides updated recommendations on the role of preprocedure testing for coronavirus (SARS-CoV-2) in individuals undergoing endoscopy in the post-vaccination period.
  • Published May 21, 2021
  • Shahnaz Sultan, Shazia M. Siddique, Siddharth Singh, Osama Altayar, Angela M. Caliendo, Perica Davitkov, Joseph D. Feuerstein, Vivek Kaul, Joseph K. Lim, Reem A. Mustafa, Yngve Falck-Ytter, John M. Inadomi on behalf of the AGA Institute Clinical Guidelines Committee

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Recommendations

1. AGA suggests against routine preprocedure testing for SARS-CoV-2 in patients undergoing upper endoscopy or lower endoscopy (this includes all related GI procedures, including endoscopic ultrasound, ERCP, and flexible sigmoidoscopy) irrespective of the vaccination status of patients.

2. In endoscopy centers that implement a preprocedure testing strategy, AGA suggests using standard nucleic acid testing (laboratory-based NAAT or rapid RT-PCR) rather than a rapid isothermal test or antigen tests irrespective of the vaccination status of patients.

DOI:
SARS-CoV-2 testing and endoscopy post-vaccination: 2021 update
  • Resources

Resources

COVID resources
Related education in AGA University
Related clinical guidance
Update on telemedicine in gastroenterology
Experts outline best practices for the use of telemedicine in gastroenterology and hepatology clinical practice.
Role of pre-procedure SARS-CoV-2 testing and endoscopy
Guidance for determining your coronavirus pretesting strategy before endoscopy.
Gastrointestinal and liver manifestations of COVID-19: Rapid Review
Based on the available evidence, GI symptoms are not as common in COVID-19 as previously estimated.

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