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For each upper endoscopy that is performed, it is important that there is an appropriate indication for the procedure. In a series assessing indications for EGD, approximately 15–20% of cases have been determined to be non‐indicated examinations [4]. Published data have shown that many patients undergo repeat EGDs for dyspepsia where the yield of a second EGD is very low, particularly in patients without alarm symptoms. Similarly, in patients with chronic GERD who have an initial normal EGD, the yield of repeated endoscopic examinations remains low; performance of an esophageal pH or motility study may yield more diagnostic information in patients who fail to respond to PPI therapy [5]. However, in patients with repeated hematemesis or ongoing melena, studies have demonstrated a miss rate of 15–20% for lesions in the upper GI tract, highlighting the importance of second‐look endoscopy in patients with ongoing acute or chronic GI bleeding [6].