Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement

被引：109

作者：

Rodriguez de Santiago, Enrique ^{[1
,2
]}

Dinis-Ribeiro, Mario ^{[3
,4
]}

Pohl, Heiko ^{[5
,6
]}

Agrawal, Deepak ^{[7
]}

Arvanitakis, Marianna ^{[8
]}

Baddeley, Robin ^{[9
,10
]}

Bak, Elzbieta ^{[11
]}

Bhandari, Pradeep ^{[12
]}

Bretthauer, Michael ^{[13
,14
]}

Burga, Patricia ^{[15
]}

Donnelly, Leigh ^{[16
]}

Eickhoff, Axel ^{[17
]}

Hayee, Bu'Hussain ^{[18
]}

Kaminski, Michal F. ^{[19
,20
]}

Karlovic, Katarina ^{[21
]}

Lorenzo-Zuniga, Vicente ^{[22
]}

Pellise, Maria ^{[23
,24
]}

Pioche, Mathieu ^{[25
]}

Siau, Keith ^{[26
]}

Siersema, Peter D. ^{[27
]}

Stableforth, William

Tham, Tony C. ^{[28
]}

Triantafyllou, Konstantinos ^{[29
]}

Tringali, Alberto ^{[30
]}

Veitch, Andrew ^{[31
]}

Voiosu, Andrei M. ^{[32
]}

Webster, George J.

Vienne, Ariane ^{[33
]}

Beilenhoff, Ulrike ^{[34
]}

Bisschops, Raf ^{[35
]}

Hassan, Cesare ^{[36
]}

Gralnek, Ian M. ^{[37
]}

Messmann, Helmut ^{[38
]}

机构：

[1] Univ Alcala, Gastroenterol & Hepatol Dept, Hosp Univ Ramon Cajal, Inst Ramon Cajal Invest Sanitaria IRYCIS, Madrid, Spain

[2] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Hepat & Diges, Madrid, Spain

[3] Porto Comprehens Canc Ctr Porto CCC, Porto, Portugal

[4] RISE CI IPOP Hlth Res Network, Porto, Portugal

[5] Dartmouth Geisel Sch Med, Hanover, NH USA

[6] VA White River Junct, Hampshire & Sect Gastroenterol & Hepatol, Hartford, CT USA

[7] Univ Texas Austin, Div Gastroenterol & Hepatol, Dell Med Sch, Austin, TX USA

[8] Univ Libre Bruxelles, Erasme Univ Hosp, Dept Gastroenterol, Brussels, Belgium

[9] Kings Coll Hosp London, Kings Hlth Partners Inst Therapeut Endoscopy, London, England

[10] St Marks Hosp, Wolfson Unit Endoscopy, London, England

[11] Univ Warsaw, Dept Gastroenterol & Internal Med, Clin Hosp Med, Warsaw, Poland

[12] Portsmouth Hosp NHS Trust, Gastroenterol, Portsmouth, Hants, England

[13] Univ Oslo, Clin Effect Res Grp, Oslo, Norway

[14] Oslo Univ Hosp, Dept Transplantat Med, Oslo, Norway

[15] Univ Hosp Padua, Endoscopy Dept, Padua, Italy

[16] Northumbria Healthcare NHS Trust, Endoscopy Dept, Northumberland, England

[17] Klinikum Hanau, Klin Gastroenterol Diabetol Infektiol, Hanau, Germany

[18] Univ Coll London Hosp, Dept Gastroenterol, London, England

[19] Maria Sklodowska Curie Natl Res Inst Oncol, Dept Canc Prevent, Warsaw, Poland

[20] Maria Sklodowska Curie Natl Res Inst Oncol, Dept Oncol Gastroenterol, Warsaw, Poland

[21] Clin Hosp Ctr Rijeka, Dept Gastroenterol, Endoscopy Unit, Rijeka, Croatia

[22] Univ & Polytechn Fe Hosp IIS Fe, Dept Gastroenterol, Valencia, Spain

[23] Univ Barcelona, Dept Gastroenterol, Hosp Clin Barcelona, Ctr Invest Biomed Red Enfermedades Hepat Digest, Barcelona, Spain

[24] Univ Barcelona, Inst Invest Biomed August Pi Sunyer IDIBAPS, Barcelona, Spain

[25] Hosp Civils Lyon, Endoscopy Unit, Lyon, France

[26] Dudley Grp Hosp NHS Fdn Trust, Dept Gastroenterol, Dudley, England

[27] Radboud Univ Nijmegen, Dept Gastroenterol & Hepatol, Med Ctr, Nijmegen, Netherlands

[28] Ulster Hosp, Div Gastroenterol, Belfast, Antrim, North Ireland

[29] Natl & Kapodistrian Univ Athens, Attikon Univ Gen Hosp, Hepatogastroenterol Unit, Dept Internal Med Propaedeut 2,Med Sch, Athens, Greece

[30] Conegliano Hosp, Digest Endoscopy Unit, ULSS Marca Trevigiana 2, Conegliano, Italy

[31] Royal Wolverhampton NHS Trust, Dept Gastroenterol, Wolverhampton, England

[32] Colentina Clin Hosp, Dept Gastroenterol & Hepatol, Bucharest, Romania

[33] Hop Prive dAntony, Antony, France

[34] Catholic Univ Leuven KUL, Univ Hosp Leuven, Dept Gastroenterol & Hepatol, TARGID, Leuven, Belgium

[35] Humanitas Univ, Dept Biomed Sci, Pieve Emanuele & Endoscopy Unit, IRCCS Humanitas Clin & Res Ctr, Milan, Italy

[36] Emek Med Ctr, Ellen & Pinchas Mamber Inst Gastroenterol & Hepat, Afula, Israel

[37] Technion Israel Inst Technol, Rappaport Fac Med, Haifa, Israel

[38] III Med Klin Univ Augsburg, Augsburg, Germany

来源：

ENDOSCOPY | 2022年 / 54卷 / 08期

关键词：

SINGLE-USE DUODENOSCOPES; GREENHOUSE-GAS EMISSIONS; LIFE-CYCLE ASSESSMENT; HEALTH-CARE; BIOPSY FORCEPS; QUALITY IMPROVEMENT; CARBON FOOTPRINT; IN-VITRO; PERFORMANCE-MEASURES; SURVEILLANCE;

D O I：

10.1055/a-1859-3726

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Climate change and the destruction of ecosystems by human activities are among the greatest challenges of the 21st century and require urgent action. Health care activities significantly contribute to the emission of greenhouse gases and waste production, with gastrointestinal (GI) endoscopy being one of the largest contributors. This Position Statement aims to raise awareness of the ecological footprint of GI endoscopy and provides guidance to reduce its environmental impact. The European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) outline suggestions and recommendations for health care providers, patients, governments, and industry. Main statements 1 GI endoscopy is a resource-intensive activity with a significant yet poorly assessed environmental impact. 2 ESGE-ESGENA recommend adopting immediate actions to reduce the environmental impact of GI endoscopy. 3 ESGE-ESGENA recommend adherence to guidelines and implementation of audit strategies on the appropriateness of GI endoscopy to avoid the environmental impact of unnecessary procedures. 4 ESGE-ESGENA recommend the embedding of reduce, reuse, and recycle programs in the GI endoscopy unit. 5 ESGE-ESGENA suggest that there is an urgent need to reassess and reduce the environmental and economic impact of single-use GI endoscopic devices. 6 ESGE-ESGENA suggest against routine use of single-use GI endoscopes. However, their use could be considered in highly selected patients on a case-by-case basis. 7 ESGE-ESGENA recommend inclusion of sustainability in the training curricula of GI endoscopy and as a quality domain. 8 ESGE-ESGENA recommend conducting high quality research to quantify and minimize the environmental impact of GI endoscopy. 9 ESGE-ESGENA recommend that GI endoscopy companies assess, disclose, and audit the environmental impact of their value chain. 10 ESGE-ESGENA recommend that GI endoscopy should become a net-zero greenhouse gas emissions practice by 2050.

引用

页码：797 / 826

页数：30

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