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Letter to the Editor Correspondence on “Clinical practice of gastrointestinal endoscopy in COVID-19 patients: an experience from Indonesia”
Rujittika Mungmunpuntipantip1,orcid, Viroj Wiwanitkit2orcid
Clinical Endoscopy 2022;55(4):579-580.
DOI: https://doi.org/10.5946/ce.2022.081
Published online: July 13, 2022

1Private Academic Consultant, Bangkok, Thailand

2Department of Community Medicine, D Y Patil University, Pune, India

Correspondence: Rujittika Mungmunpuntipantip Private Academic Consultant, Bangkok, Thailand E-mail: rujittika@gmail.com
• Received: February 18, 2022   • Revised: April 14, 2022   • Accepted: April 15, 2022

Copyright © 2022 Korean Society of Gastrointestinal Endoscopy

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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See the article "Clinical Practice of Gastrointestinal Endoscopy in COVID-19 Patients: An Experience from Indonesia" on page 156.
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.
  • 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.ArticlePubMedPMCPDF
  • 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.ArticlePubMedPMC

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        Correspondence on “Clinical practice of gastrointestinal endoscopy in COVID-19 patients: an experience from Indonesia”
        Clin Endosc. 2022;55(4):579-580.   Published online July 13, 2022
        DOI: https://doi.org/10.5946/ce.2022.081
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