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As endoscopy centers have gradually reopened in the U.S., testing of asymptomatic patients for SARS-CoV-2 infection prior to their procedures has become more widespread. The AGA has issued recommendations on the role of pre-endoscopy testing based on asymptomatic disease prevalence, which was estimated as 10% of the local rate of positive cases.
Test for infection 48 to 72 hours prior to the procedure if asymptomatic prevalence is intermediate (0.5%–2%). This assumes good test performance characteristics and acceptable burden to patients. If these conditions are not met, centers may consider foregoing testing but should use highe…