Gastrointestinal Unit, Ospedale dell'Angelo, Venice, Italy; Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy.
Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Dig Liver Dis. 2022 Dec;54(12):1623-1629. doi: 10.1016/j.dld.2022.08.018. Epub 2022 Sep 10.
Climate crisis is dramatically changing life on earth. Environmental sustainability and waste management are rapidly gaining centrality in quality improvement strategies of healthcare, especially in procedure-dominant fields such as gastroenterology and digestive endoscopy. Therefore, healthcare interventions and endoscopic procedures must be evaluated through the 'triple bottom line' of financial, social, and environmental impact. The purpose of the paper is to provide information on the carbon footprint of gastroenterology and digestive endoscopy and outline a set of measures that the sector can take to reduce the emission of greenhouse gases while improving patient outcomes. Scientific societies, hospital executives, single endoscopic units can structure health policies and investment to build a "green endoscopy". The AIGO study group reinforces the role of gastrointestinal endoscopy professionals as advocates of sustainability in digestive endoscopy. The "green endoscopy" can shape a more sustainable health service and lead to an equitable, climate-smart, and healthier future.
气候危机正在极大地改变地球的生命。环境可持续性和废物管理在医疗保健质量改进策略中迅速占据核心地位，尤其是在以程序为主导的领域，如胃肠病学和消化内镜。因此，医疗干预和内镜程序必须通过财务、社会和环境影响的“三重底线”进行评估。本文旨在提供关于胃肠病学和消化内镜碳足迹的信息，并概述该领域可以采取的一系列措施，以减少温室气体排放，同时改善患者的结果。科学学会、医院管理人员和单个内镜单位可以制定卫生政策和投资，以建立“绿色内镜”。AIGO 研究小组强调了胃肠道内镜专业人员作为消化内镜可持续性倡导者的作用。“绿色内镜”可以塑造更可持续的医疗服务，并为更公平、气候智能和更健康的未来铺平道路。
