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DOI: 10.1055/a-2150-9311
Green Endoscopy – Strategien für mehr Nachhaltigkeit in der Endoskopie
Green endoscopy – strategy for more sustainablility in endoscopy![](https://www.thieme-connect.de/media/zfg/202402/lookinside/thumbnails/10-1055-a-2150-9311-1.jpg)
Zusammenfassung
Das Thema Klimaschutz, Ökologie und CO2-Neutralität wird seit Jahren in der Gesellschaft intensiv und zunehmend diskutiert. Auch in Krankenhäusern und anderen medizinischen Einrichtungen nimmt dies einen immer höheren Stellenwert ein. Der Gesundheitssektor ist für 5,6% aller deutschlandweiten CO2-Emissionen verantwortlich, insbesondere durch den hohen Energieverbrauch und den anfallenden Müll von 6kg pro Patient und Tag. Der folgende Beitrag fasst die Möglichkeiten zusammen, die die Endoskopie als Beitrag zur ökologischen Nachhaltigkeit zu leisten vermag. Ein besonderer Focus liegt auf den heute schon einfach umzusetzenden Maßnahmen.
Abstract
Climate protection, ecology and CO2 neutrality have been discussed intensively and increasingly in society for years. This is also becoming increasingly important in hospitals and other medical facilities. The health care sector is responsible for 5.6% of all CO2 emissions in Germany, particularly due to high energy consumption and a daily waste production of 6kg per patient. The following article summarizes the options for endoscopy to contribute to ecological sustainability, with a special focus on measures that can be easily implemented today.
Publikationsverlauf
Eingereicht: 09. März 2023
Angenommen nach Revision: 03. August 2023
Artikel online veröffentlicht:
16. Februar 2024
© 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG
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Literatur
- 1 van Daalen K, Füssel HM, Kazmierczak A. et al. Responding to the health risks of climate change in Europe. Lancet Countdown on Health and Climate Change and the European Environment Agency. 2021
- 2 Lenzen M, Malik A, Li M.. et al. The environmental footprint of health care: a global assessment. Lancet Planet Health 2020; 4: e271-e279 DOI: 10.1016/S2542-5196(20)30121-2. (PMID: 32681898)
- 3 Haddock R, de Latour R, Siau K. et al. Climate Change and Gastroenterology: Planetary Primum Non Nocere and How Industry Must Help. Am J Gastroenterol 2022; 117 (03) 394-400
- 4 Gayam S. Environmental impact of endoscopy: “Scope” of the problem. Am J Gastroenterol 2020; 115: 1931-1932 DOI: 10.14309/ajg.0000000000001005. (PMID: 33086225)
- 5 Maurice JB, Siau K, Sebastian S.. et al. Green endoscopy: a call for sustainability in the midst of COVID-19. Lancet Gastroenterol Hepatol 2020; 5: 636-638 DOI: 10.1016/S2468-1253(20)30157-6. (PMID: 32553141)
- 6 Sebastian S, Dhar A, Baddeley R. et al. 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. Gut 2023; 72 (01) 12-26 DOI: 10.1136/gutjnl-2022-328460. (PMID: 36229172)
- 7 Siau K, Hayee B, Gayam S. Endoscopy’s current carbon footprint. TechnInnovGastrointestEndosc 2021; 23: 344-352 DOI: 10.1016/j.tige.2021.06.005..
- 8 Bang JY, Hawes R, Varadarajulu S. Equivalent performance of single-use and reusable duodenoscopes in a randomised trial. Gut 2021; 70 (05) 838-844 DOI: 10.1136/gutjnl-2020-321836. (PMID: 32895332)
- 9 FDA News Release. FDA clears first fully disposable duodenoscope, eliminating the potential for infections caused by ineffective reprocessing, December 19, 2019.
- 10 De Santiago E, Dinis-Ribeiro M, Pohl H. et al. 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. Endoscopy 2022; 54 (08) 797-826
- 11 United Nations Global Compact. The world’s largest corporate sustainability initiative. Zugriff am 13. Dezember 2021 unter: https://www.unglobalcompact.org/what-is-gc
- 12 Agrawal D, Shoup V, Montgomery A. et al. Disposal of endoscopic accessories after use: do we know and do we care?. Gastroenterol Nurs 2017; 40: 13-18 DOI: 10.1097/SGA.0000000000000280. (PMID: 28134715)
- 13 Namburar S, von Renteln D, Damianos J. et al. Estimating the environmental impact of disposable endoscopic equipment and endoscopes. Gut 2021; DOI: 10.1136/gutjnl-2021-324729.
- 14 Gordon IO, Sherman JD, Leapman M. et al. Life cycle greenhouse gas emissions of gastrointestinal biopsies in a surgical pathology laboratory. Am J ClinPathol 2021; 156: 540-549 DOI: 10.1093/ajcp/aqab021. (PMID: 33822876)
- 15 Henniger D, Windsheimer M, Beck H. et al. Assessment of the yearly carbon emission of a gastrointestinal endoscopy unit. Gut. DOI: 10.1136/ gutjnl-2023-329940
- 16 Nhat Tu Le N, Hernandez LV, Vakil N. et al. Environmental and health outcomes of single-use versus reusable duodenoscopes. Gastrointest Endosc 2022; 96 (06) 1002-1008