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绿色内镜检查的现状与趋势

Current status and trends of green endoscopy.

作者信息

Ryu Kihyun, Yoon Won Jae, Kim Sang Hoon, Park Da Hee, Park Jin Hwa, Bang Ki Bae, Jeon Tae Joo, Jung Da Hyun, Cho Young Sin

机构信息

Department of Gastroenterology, Konyang University Myunggok Medical Research Institute, Daejeon, Korea.

Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2025 Jul;58(4):493-502. doi: 10.5946/ce.2024.332. Epub 2025 May 21.

DOI:10.5946/ce.2024.332
PMID:40394928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12314607/
Abstract

The increasing global emphasis on sustainability has extended its influence to the field of medicine, including endoscopy. Green endoscopy aims to minimize the environmental footprint of endoscopic practices while maintaining high standards of patient care. This review examines the current status of green endoscopy, focusing on its environmental impact, strategies for waste reduction, and adoption of sustainable practices. The key topics include the environmental challenges posed by single-use devices, the role of sterilization and recycling, and innovations in energy-efficient endoscopic equipment. Furthermore, we highlight policy recommendations and actionable strategies for healthcare systems to transition toward green practices. By integrating these approaches, the field of endoscopy can meaningfully contribute to global sustainability efforts without compromising clinical outcomes.

摘要

全球对可持续性的日益重视已将其影响扩展到医学领域,包括内窥镜检查。绿色内窥镜检查旨在在保持高标准患者护理的同时,尽量减少内窥镜操作对环境的影响。本综述探讨了绿色内窥镜检查的现状,重点关注其环境影响、减少废物的策略以及可持续实践的采用。关键主题包括一次性设备带来的环境挑战、消毒和回收的作用以及节能内窥镜设备的创新。此外,我们强调了医疗系统向绿色实践转变的政策建议和可行策略。通过整合这些方法,内窥镜检查领域可以在不影响临床结果的情况下,为全球可持续发展做出有意义的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4825/12314607/356520da8fcf/ce-2024-332f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4825/12314607/356520da8fcf/ce-2024-332f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4825/12314607/356520da8fcf/ce-2024-332f1.jpg

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本文引用的文献

1
Awareness of green endoscopy is low among healthcare professionals performing gastrointestinal endoscopy.在进行胃肠内镜检查的医疗专业人员中,对绿色内镜检查的认知度较低。
Clin Endosc. 2024 Nov;57(6):836-838. doi: 10.5946/ce.2024.004. Epub 2024 Jul 25.
2
Opportunities and Challenges in the Application of Bioplastics: Perspectives from Formulation, Processing, and Performance.生物塑料应用中的机遇与挑战:来自配方、加工及性能方面的视角
Polymers (Basel). 2024 Sep 10;16(18):2561. doi: 10.3390/polym16182561.
3
Environmental impact of single-use versus reusable gastroscopes.
一次性与可复用胃镜的环境影响。
Gut. 2024 Oct 7;73(11):1816-1822. doi: 10.1136/gutjnl-2024-332293.
4
Role of patient and staff mobility in scope 3 emissions in GI endoscopy.患者及工作人员移动性在胃肠内镜检查范围三排放中的作用。
Gut. 2024 Jul 11;73(8):1232-1234. doi: 10.1136/gutjnl-2024-332041.
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Asia-Pacific survey on green endoscopy.亚太地区绿色内镜调查。
J Gastroenterol Hepatol. 2024 Jan;39(1):133-140. doi: 10.1111/jgh.16409. Epub 2023 Nov 15.
6
The carbon footprint of ambulatory gastrointestinal endoscopy.门诊胃肠道内镜检查的碳足迹。
Endoscopy. 2023 Oct;55(10):918-926. doi: 10.1055/a-2088-4062. Epub 2023 May 8.
7
Gastrointestinal endoscopy's carbon footprint.胃肠内镜检查的碳足迹。
Clin Endosc. 2023 May;56(3):263-267. doi: 10.5946/ce.2023.003. Epub 2023 Mar 31.
8
SEE the DIFFerence: Reducing unnecessary C. difficile orders through clinical decision support in a large, urban safety-net system.所见即所得:在一个大型城市医疗保障体系中,通过临床决策支持减少不必要的艰难梭菌检测。
Am J Infect Control. 2023 Jul;51(7):786-791. doi: 10.1016/j.ajic.2022.11.003. Epub 2022 Nov 10.
9
Single-use duodenoscopes: How concerned should we be about the environment?一次性使用十二指肠镜:我们应多关注其对环境的影响?
Gastrointest Endosc. 2022 Dec;96(6):1009-1011. doi: 10.1016/j.gie.2022.08.014. Epub 2022 Oct 15.
10
Green endoscopy: British Society of Gastroenterology (BSG), Joint Accreditation Group (JAG) and Centre for Sustainable Health (CSH) joint consensus on practical measures for environmental sustainability in endoscopy.绿色内镜:英国胃肠病学会(BSG)、联合认证组(JAG)和可持续健康中心(CSH)联合制定的内镜环境可持续性实用措施共识。
Gut. 2023 Jan;72(1):12-26. doi: 10.1136/gutjnl-2022-328460. Epub 2022 Oct 13.