Gastrointestinal endoscopy is the cornerstone of gastrointestinal cancer diagnostics. Services were largely suspended during the peak of the COVID-19 pandemic (appendix p 1), 1 Rees CJ East JE Oppong K et al. Restarting gastrointestinal endoscopy in the deceleration and early recovery phases of COVID-19 pandemic: guidance from the British Society of Gastroenterology. Clin Med. 2020; 20: 352-358 with procedures done during April and May, 2020, representing only 12% of pre-COVID-19 activity.