Real-life cost savings and capacity improvements on implementation of the new BSG post-polypectomy surveillance guideline

Shandro, Benjamin; Chang, Vincent T. W.; Mathur, Jai; O’Neill, Parker; Groves, Christopher J.; Sadler, G; Poullis, Andrew

doi:10.7861/clinmed.2019-0401

Cited by 7 publications

(7 citation statements)

References 4 publications

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“… 28 Similarly non-invasive tests such as faecal calprotectin can be used to avoid unnecessary endoscopic procedures 29 with a low likelihood of significant pathology. Finally, up to 80% reduction in colonoscopy-based postpolypectomy surveillance can be achieved by discharging patients to stool testing-based 30 national screening programmes as per the British 31 and European 32 guidelines. Another important consideration is avoiding the need for re-do procedures by having a multidisciplinary team planning in complex cases (eg, large polyps, complex Endoscopic Retrograde Cholangio Pancreatography (ERCP)) to place patients in appropriate specialist lists.…”

Section: Methodsmentioning

confidence: 99%

Untitled

2022

Gut

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Section: Methodsmentioning

confidence: 99%

Untitled

2022

Gut

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“…In this regard, ESGE has published a document to summarize when endoscopic follow-up is not recommended [32]. Recent guidelines are expected to reduce surveillance colonoscopies by over 80 %, with notable cost savings and capacity improvements [40]. Endoscopy services are encouraged to assess the appropriateness of endoscopy and to take action when endoscopy has been performed inappropriately [41].…”

Section: Clinical Managementmentioning

confidence: 99%

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

Dinis‐Ribeiro²,

et al. 2022

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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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“…These can be replaced with noninvasive methods like stool test, colon capsule study, and virtual colonoscopy. [14][15][16][17][18][19][20]…”

Section: Rationalizing Endoscopy Workloadmentioning

confidence: 99%

Environmentally Sustainable Endoscopy Practices

Jain

2023

Journal of Digestive Endoscopy

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Climate change affects each and every one of us and has far reaching consequences. As healthcare providers and responsible citizens, it is our duty to make our practices environmentally sustainable. Endoscopy practice involves frequent use of single-use items, resource-heavy decontamination practices, water consumption, patient and staff travel as well as high electricity consumption. The present review highlights the measures that can be taken to reduce the carbon footprint of endoscopy practice. Proper waste management, judicious use of electricity, proper selection of cases for anesthesia and biopsy, and appropriate use of noninvasive tests in practice are discussed in the review.

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Real-life cost savings and capacity improvements on implementation of the new BSG post-polypectomy surveillance guideline

Cited by 7 publications

References 4 publications

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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

Environmentally Sustainable Endoscopy Practices

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