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The infection due to this virus spread exponentially throughout China and then spread across &gt;205 nations, including the United States (US). Gastrointestinal (GI) endoscopies are routinely performed in the US and globally. Previous reports of isolated infection outbreaks were reported with endoscopes acting as potential vectors. While multidrug\u2010resistant organisms have been reported to be spread by endoscopes, few cases of viruses such as hepatitis B and C are noted in the literature. COVID\u201019 is predominately spread by droplet transmission, although recent evidence has showed that shedding in feces and feco\u2010oral transmission could also be possible. It is unclear if COVID\u201019 could be transmitted by endoscopes, but it could theoretically happen due to contact with mucous membranes and body fluids. GI endoscopies involve close contact with oral and colonic contents exposing endoscopy staff to respiratory and oropharyngeal secretions. This can increase the risk of contamination and contribute to virus transmission. Given these risks, all major GI societies have called for rescheduling elective non\u2010urgent procedures and perform only emergent or urgent procedures based on the clinical need. Furthermore, pre\u2010screening of all individuals prior to endoscopy is recommended. This article focuses on the risk of COVID\u201019 transmission by GI shedding, the potential role of endoscopes as a vector of this novel virus, including transmission during endoscopies, and prevention strategies including deferral of elective non\u2010urgent endoscopy procedures.<\/jats:p>","DOI":"10.1111\/den.13693","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T11:04:27Z","timestamp":1586775867000},"page":"715-722","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["COVID\u201019 and gastrointestinal endoscopies: Current insights and emergent strategies"],"prefix":"10.1111","volume":"32","author":[{"given":"Abhilash","family":"Perisetti","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology University of Arkansas for Medical Sciences Little Rock USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Gajendran","sequence":"additional","affiliation":[{"name":"Paul L. 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