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The effect of COVID on managing diseases of the esophagus virtual roundtable was recorded on July 21, 2020, in follow-up to the launch of the ISDE Guidance Statement and first roundtable discussion on managing upper-GI endoscopy and surgery during the COVID-19 outbreak. ISDE Guidelines Committee Chair, Cesare Hassan, was joined by panellists from Singapore, Hong Kong, India and Russia sharing their experiences and perspectives. This video includes a presentation and discussion on upper GI endoscopy as an Aerosol Generating Procedure during COVID. ISDE wishes to recognize and thank the following individuals for their contributions to this roundtable discussion. International Panelists Sergey Kashin, Yaroslavl Regional Cancer Hospital Yaroslavl (Russia) CS Pramesh, Tata Memorial Hospital Mumbai (India) Asim Shabbir, National University of Singapore (Singapore) Shannon Chan, Chinese University of Hong Kong (Hong Kong) Moderated by Cesare Hassan, Nuovo Regina Margherita Hospital, Rome, Italy Find out more about the ISDE Guidance Statement on Management of upper-GI Endoscopy & Surgery in the COVID-19 outbreak at www.isde.net/covid19-guidance.