ESGE European Society of Gastrointestinal Endoscopy ESTD endoscopic submucosal tunnel dissection ESU electrosurgical unit GI gastrointestinal GRADE Grading of Recommendations Assessment, Development and Evaluation IPB intraprocedural bleeding IT insulated-tip OTS over-the-scope PCM pocket-creation method PEECS post-ESD electrocoagulation syndrome, Appropriate use of GI endoscopy This is one of a series of position statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. Position statements are based on a critical review, 520 Gastroenterology & Hepatology Volume 16, Issue 10 October 2020 IIV A recent survey of 252 endoscopy units from 55 countries showed that there was an 83% decline in endo-, Table 1 Changes regarding endoscopy service provision after the COVID pandemic Abbreviations: PPE personal protective equipment; CRC colorectal cancer; FIT fecal immunochemical test; CT computed tomography Procedural workow for endoscopy Pre‑endoscopy ‑ Infection minimized pathways ‑ Universal screening and testing ‑ Patient PPE, endoscopy. Infection withH. pylori Performing upper gastrointestinal endoscopy in 82 children presenting with recurrent abdominal pain, Ashorn et al.17 found evidence of infection with H. pylori (based on histology and/or culture) in 22%. Thus, organic disease was much more prevalent than others had supposed, and a sizeable proportion was due , .