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Conventional gastroscopy remains the widely accepted “gold standard” method for detecting and treating gastric pathology. However, patients with relative contraindications, such as severe cardiac or respiratory dysfunction, may not tolerate the stress of conventional examination. Patient’s discomfort and the need for sedation also limit its use for screening purposes. In addition, most gastroscopy procedures do not need a biopsy or further intervention. The COVID pandemic has placed an unprecedented challenge on endoscopy units worldwide.