Meeting the environmental challenges of endoscopy: a pathway from strategy to implementation

Hernandez, Lyndon V.; Agrawal, Deepak; Skole, Kevin S.; Crockett, Seth D.; Shimpi, Rahul A.; von Renteln, Daniel; Pohl, Heiko

doi:10.1016/j.gie.2023.07.031

Cited by 6 publications

(1 citation statement)

References 34 publications

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“…Expert consensus guidelines from various gastrointestinal societies have also been published, predominantly addressing issues related to endoscopy but also to the clinical practice of gastroenterology. [2][3][4] However, there are a number of unmet research needs in this field, and the evidence base for the recommendations in various guidelines, including the strategies for implementation of GHG reduction, is not very robust. There are very few randomised controlled trials evaluating the impact of one strategy over another.…”

Section: Introductionmentioning

confidence: 99%

Unmet research needs in sustainable luminal gastroenterology practice

Dhar,

Haboubi,

Selinger

et al. 2024

Frontline Gastroenterol

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While it is now well recognised that gastroenterology, hepatology and endoscopy are major contributors to climate change on account of the amount of greenhouse gases (GHGs) that are generated in these specialties, systematic research that measures the exact amount of GHGs generated by different aspects of clinical care in the specialty is lacking. Similarly, while there are a number of publications highlighting the potential strategies for the reduction of GHGs, interventional studies assessing the impact of change are only beginning to be carried out. As such, there are a number of unmet research needs in this field and this mini review is aimed at discussing some of these.

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Section: Introductionmentioning

confidence: 99%

Unmet research needs in sustainable luminal gastroenterology practice

Dhar,

Haboubi,

Selinger

et al. 2024

Frontline Gastroenterol

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Micro‐bacterial assessment of disposable gowns with a focus on green endoscopy in gastrointestinal endoscopy procedures: A Japanese pilot study for healthcare waste reduction

Naito,

Nakamura,

Muramatsu

et al. 2024

DEN Open

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ObjectiveThis study aimed to implement green endoscopy through the microbiological assessment of gowning techniques during endoscopy to reduce carbon emissions and separate medical waste.MethodsTwenty‐five patients who performed esophagogastroduodenoscopy from March to May 2024 were included in this study. Four sections of the isolation gowns (anterior, posterior, right, and left) were cut into 2 cm2 after endoscopy, and the rate of microbial contamination was examined using the stamp method.ResultsThe endoscopic examination time was 8 min (6−12), and endoscopy was performed by 10 expert endoscopists, six endoscopists, and nine residents. The overall isolation gown contamination rate was 56%, with 25%, 20.8%, 20.8%, and 33.3% in the front, back, as well as right and left arms, respectively. The rates of isolation gown contamination rates in the expert endoscopists, endoscopists, and residents groups were 30%, 50%, and 77.8%, respectively, with a higher rate in the residents group. Regardless of the physician's performance, bacterial detection was consistently higher in the left arm (42.9% vs. 40% vs. 25%; p = 0.093). The detected bacteria comprised 58% Gram‐positive and 42% Gram‐negative organisms, including those from tap water used for endoscopy bacteria and obtained from the participant's skin or mouth. No pathogenic organisms were detected.ConclusionsThe bacteria detected in disposable gowns after gastrointestinal endoscopy were non‐pathogenic. Thus, our findings suggest that changing all personal protective equipment of respective endoscopes might not be essential. We advocate for green endoscopy to achieve sustainable development goals and reduce medical waste.

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The Impact of Climate Change, Pollution, and Biodiversity Loss on Digestive Health and Disease

Leddin

2024

Gastro Hep Advances

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Meeting the environmental challenges of endoscopy: a pathway from strategy to implementation

Cited by 6 publications

References 34 publications

Unmet research needs in sustainable luminal gastroenterology practice

Unmet research needs in sustainable luminal gastroenterology practice

Micro‐bacterial assessment of disposable gowns with a focus on green endoscopy in gastrointestinal endoscopy procedures: A Japanese pilot study for healthcare waste reduction

The Impact of Climate Change, Pollution, and Biodiversity Loss on Digestive Health and Disease

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