Leddin Desmond
Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Gastro Hep Adv. 2024 Mar 2;3(4):519-534. doi: 10.1016/j.gastha.2024.01.018. eCollection 2024.
The environment is changing rapidly under pressure from 3 related drivers: climate change, pollution, and biodiversity loss. These environmental changes are affecting digestive health and disease in multiple ways. Heat extremes can cause intestinal and hepatic dysfunction. Access to adequate amounts of food of high nutritional content and to clean water is under threat. Extreme weather is associated with flooding and enteric infections and affects the delivery of care through infrastructure loss. Air, water, and soil pollution from chemicals and plastics are emerging as risk factors for a variety of intestinal diseases including eosinophilic esophagitis, metabolic dysfunction associated fatty liver disease, digestive tract cancers, inflammatory bowel disease, and functional bowel disease. Migration of populations to cities and between countries poses a special challenge to the delivery of digestive care. The response to the threat of environmental change is well underway in the global digestive health community, especially with regard to understanding and reducing the environmental impact of endoscopy. Individuals, and peer societies, are becoming more engaged, and have an important role to play in meeting the challenge.
在气候变化、污染和生物多样性丧失这三个相关驱动因素的压力下，环境正在迅速变化。这些环境变化正以多种方式影响着消化健康和疾病。极端高温会导致肠道和肝脏功能障碍。获取足够数量的高营养食物和清洁水受到威胁。极端天气与洪水和肠道感染有关，并通过基础设施受损影响医疗服务的提供。化学物质和塑料造成的空气、水和土壤污染正成为多种肠道疾病的风险因素，包括嗜酸性食管炎、代谢功能障碍相关脂肪性肝病、消化道癌症、炎症性肠病和功能性肠病。人口向城市迁移以及跨国迁移给消化护理服务带来了特殊挑战。全球消化健康领域正在积极应对环境变化的威胁，尤其是在理解和减少内镜检查对环境的影响方面。个人以及同行协会正越来越积极地参与其中，在应对这一挑战中发挥着重要作用。
