Endoscopy's Current Carbon Footprint

Siau, Keith; Hayee, Bu’Hussain; Gayam, Swapna

doi:10.1016/j.tige.2021.06.005

Cited by 59 publications

(80 citation statements)

References 37 publications

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“…Siau [6] Narrative review on endoscopic procedure and transport ▪ 1-year endoscopy activity in the United States (18 million procedures): 85 768 tonnes of CO2 → 4.8 kg of CO2 per endoscopy. This calculation includes CO2 related to waste and basic energy needs.…”

Section: First Author Methodology and Topic Estimatesmentioning

confidence: 99%

“…The reason for this lack of data is multifactorial and includes a lack of interest from manufacturers, health care providers, and researchers, as well as difficulties in conducting comprehensive life cycle assessment (i. e., lack of methodological consensus and limited data about the origin, manufacturing, and waste disposal of GI endoscopy products) [20]. A summary of available data with current estimates is provided in ▶ Table 3 [6,[21][22][23][24]. ▶ Table 2 "Green" glossary of core terms.…”

Section: The Carbon Footprint Of Gi Endoscopymentioning

confidence: 99%

“…Health care systems contribute significantly to the emission of GHGs [5]. Preliminary studies suggest that gastrointestinal (GI) endoscopy is one of the largest polluters and waste generators [6]. Currently, there is little awareness, assessment, or guidance from medical societies about the environmental impact of clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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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

Santiago

Dinis‐Ribeiro²,

Pohl

et al. 2022

Endoscopy

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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.

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Section: First Author Methodology and Topic Estimatesmentioning

confidence: 99%

Section: The Carbon Footprint Of Gi Endoscopymentioning

confidence: 99%

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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

Santiago

Dinis‐Ribeiro²,

Pohl

et al. 2022

Endoscopy

Self Cite

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“…Reducing the number of endoscopies performed is by far the best way to make endoscopy more sustainable (Siau et al ) 6. However, this will require a huge shift in behaviour and culture.…”

Section: Future Workmentioning

confidence: 99%

“…High throughput departments such as endoscopy create multiple non-renewable waste streams which is further compounded by a resource heavy decontamination process 5. It is suggested that in the UK alone 2.1 million procedures were performed in 2019 6. Therefore, as a specialty, we need to actively seek out new approaches to enable endoscopy services to be more sustainable.…”

Section: Introductionmentioning

confidence: 99%