Clin Endosc > Volume 55(4); 2022 > Article
Mungmunpuntipantip and Wiwanitkit: Correspondence on “Clinical practice of gastrointestinal endoscopy in COVID-19 patients: an experience from Indonesia”
To the Editor
We would like to share ideas on the publication of Pribadi et al.1 We agree that adaptation to the coronavirus disease 2019 (COVID-19) pandemic is required. According to Pribadi et al.,1 gastrointestinal endoscopy can be safely performed in COVID-19 patients if there is good management. Therefore, the application of specific protocols to prevent COVID-19 is recommended. Undoubtedly, COVID-19 prevention is required in any medical procedure for COVID-19 cases. Infection control has proven to be useful in this scenario.
However, it is necessary to recognize the possibility of asymptomatic COVID-19 cases.2 Recommendations for different degrees of preventative measures for specific cases with known COVID-19 status should be reconsidered. This practice may result in discrimination when performing a medical procedure. There will be more preventive actions if the patient is infected with severe acute respiratory syndrome coronavirus 2. Consequently, this might easily result in neglect or under-standardized prevention for a case not labeled as a COVID-19 positive. If an asymptomatic COVID-19 case is not diagnosed, a silent spread of the disease can easily occur. During the pandemic, there was no discrimination. The management of any patient should be based on a single standard with universal prevention regardless of COVID-19 status. Specific strategies to execute the recommendation of “no discrimination” include producing updated specific clinical guidelines to match the current rapidly changing scenario of the COVID-19 epidemic. In every practice, all workers must follow the usual universal preventative methods.


Conflicts of Interest
The authors have no potential conflicts of interest.
Author Contributions
Conceptualization: RM, VW; Data curation: RM, VW; Validation: RM, VW; Visualization: RM, VW; Writing-original draft: RM, VW; Writingreview& editing: RM, VW.


1. Pribadi RR, Utari AP, Muzellina VN, et al. Clinical practice of gastrointestinal endoscopy in COVID-19 patients: an experience from Indonesia. Clin Endosc 2022;55:156–159.
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2. Gao Z, Xu Y, Sun C, et al. A systematic review of asymptomatic infections with COVID-19. J Microbiol Immunol Infect 2021;54:12–16.
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Clinical Practice of Gastrointestinal Endoscopy in COVID-19 Patients: An Experience from Indonesia  2022 January;55(1)
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