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Framework for Safely Reopening Endoscopy During the COVID-19 Pandemic: Redefining Adequate Preparation.

The novel coronavirus disease 2019 (COVID19) pandemic has had a major impact on outpatient endoscopy practice. Starting midMarch 2020, all elective endoscopic procedures across the country were suspended in order to suppress viral spread and conserve personal protective equipment (PPE) for high acuity care. As most geographic areas in the United States reach their peaks, proceduralists are preparing to reopen for business. This should involve a strategic approach based on individual states’ readiness and COVID-19 burden. The timeline and criteria for reopening remain unclear in light of the rapidly evolving data. This article highlights some of these nuances and describes a conceptual framework that will help guide endoscopists in the reopening process.