key: cord-1036145-6e0jy6uy authors: Wang, Hongling; Zhang, Yafei; Liu, Lan; Zhang, Xiaodan; Zhao, Qiu title: ERCP during the COVID-19 epidemic date: 2020-09-23 journal: Endoscopy DOI: 10.1055/a-1194-4745 sha: 0fb650f6041739e1393d265bdd1881a0d9e6d098 doc_id: 1036145 cord_uid: 6e0jy6uy nan monly used disinfectants, there seem to be no additional measures necessary for duodenoscope disinfection after ERCP [3, 4] . To avoid generation of an aerosol, bedside pre-cleaning of the used endoscope was omitted from the procedure. Letter to the editor ▶ Fig. 1 Photographs of the personal protection used during endoscopic retrograde cholangiopancreatography: a,b at biosafety level 3 for a patient with COVID-19; c at biosafety level 2 for patients in whom COVID-19 has been excluded. As had been suggested, the procedure of soaking in 0.3 % peracetic acid was added [2] . With regard to single-use duodenoscopes, we think this would be a feasible method if the financial situation allowed. Strict management for COVID-19 patients during hospitalization, not only during ERCP processing, may make more sense in terms of reducing the risk of transmission among patients and medical staff. The reported patient has recovered quickly after ERCP, and 1 week later he was transferred to the Department of Infectious Disease for further isolation and treatment. Human coronaviruses: insights into environmental resistance and its influence on the development of new antiseptic strategies The authors declare that they have no conflict of interest.