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Table 1 Tier system

From: Restarting elective endoscopy safely amidst an evolving pandemic and the impact of patient perception

Tier

Criteria

Timing

1

Abnormal imaging, rapid weight loss, dehydration due to GI symptoms, ongoing GI bleeding, acute dysphagia

Within 1 week

2

Chronic diarrhea, chronic dysphagia, chronic anemia, Post-polypectomy/resection follow up, variceal screening with history of bleed

Within 4 weeks

3

Barrett’s follow up/surveillance, variceal screening without bleed, IBD surveillance

Within 3 months

4

Screening or surveillance procedures for polyps without any alarm signs

After 3 months

  1. Tier system to prioritize rescheduling outpatient endoscopy procedures consisting of the criteria for each tier and their respective rescheduling time frame goals