P359 Towards a greener endoscopy: estimating the amount of single use plastic bottles in endoscopy

Abstract

161 patients have been offered assessment and patient uptake is high with only 23 (14%) declining assessment. 52 (32%) patients were offered group therapy and the rest received individual therapy or declined ongoing support. Patients have been keen to access the service and feedback from those who have accessed it has been positive. Conclusions There is high demand for an IBD psychology service with high patient uptake. This has led to pressure on the service and development of a long waiting list.Within the IBD team there is improved understanding of what psychology can offer but the wide variation in referrals between individuals would suggest that further education as to the role of psychological input is required. This is supported by the observation that the greatest numbers of referrals come from sources where psychologist has most interaction.As referrals increase the service will have to adapt to manage them as a 5 month waiting list is inappropriate for certain referrals.Provision of this service has allowed the team to move closer to meeting IBD standards (IBDUK, 2019).

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“…A significant amount of sterile water packaged in plastic bottles is used in endoscopy 107. Endoscope manufacturers’ guidance specifies the use of sterile water in decontamination and through auxiliary water-jet channels.…”

“…For instance, there is a wide literature to support water immersion (WI) colonoscopy wherever clinical familiarity allows this to take place—this technique also positively impacts procedural key performance indicators (painless insertion, decreasing sedation requirement, improve bowel cleanliness) as well as patient-centred outcomes (improved tolerance) and overall experience (advantageous for therapeutic applications) 108. The average volume of water used is estimated at 336 mL per gastroscopy (7.05 L for 21 oesophago gastro dudoenoscopy (OGDs)); 241 mL per sigmoidoscopy (5.3 L for 24 sigmoidoscopies) and 782 mL per colonoscopy (17.2 L for 22 colonoscopies) 107. If not all water of the 1000 mL container is used for the procedure itself, the remaining water could be employed in other steps in the use of endoscopes, for example, ‘bed-side’ cleaning.…”

“…A significant amount of sterile water packaged in plastic bottles is used in endoscopy. 107 Endoscope manufacturers’ guidance specifies the use of sterile water in decontamination and through auxiliary water-jet channels. In addition, sterile bottled water is often used for intraprocedural mucosal washing of colon with pump irrigation, water-assisted colonoscopy, filling syringes and endoscope reprocessing.…”

“… 108 The average volume of water used is estimated at 336 mL per gastroscopy (7.05 L for 21 oesophago gastro dudoenoscopy (OGDs)); 241 mL per sigmoidoscopy (5.3 L for 24 sigmoidoscopies) and 782 mL per colonoscopy (17.2 L for 22 colonoscopies). 107 If not all water of the 1000 mL container is used for the procedure itself, the remaining water could be employed in other steps in the use of endoscopes, for example, ‘bed-side’ cleaning.…”