Endoscope reprocessing—resource consumption and emissions

IF 23 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Gut Pub Date : 2025-02-26 DOI:10.1136/gutjnl-2024-334457
Carlotta Crisciotti, Alessandro Fugazza, Maddalena Menini, Spadaccini Marco, Elena Vanni, Alberto Fumagalli, Paolo Oliva, Tommy Rizkala, Cesare Hassan, Serena Giordano, Rosaria Iacovino, Alessandro Repici
{"title":"Endoscope reprocessing—resource consumption and emissions","authors":"Carlotta Crisciotti, Alessandro Fugazza, Maddalena Menini, Spadaccini Marco, Elena Vanni, Alberto Fumagalli, Paolo Oliva, Tommy Rizkala, Cesare Hassan, Serena Giordano, Rosaria Iacovino, Alessandro Repici","doi":"10.1136/gutjnl-2024-334457","DOIUrl":null,"url":null,"abstract":"Effective reprocessing of reusable GI endoscopes is crucial to minimising patient risks associated with contamination. However, this process poses a considerable environmental challenge. This study aimed to examine the emissions associated with endoscope disinfection, a largely unexplored area. On average, a reprocessing cycle required 57 L water, 65 L air, 1080 watts of electricity and produced 3.30 kgCO2e. These findings highlight the pressing need for sustainable solutions to reduce the environmental impact of endoscope reprocessing while ensuring patient safety remains uncompromised. GI endoscopy represents a significant contributor to greenhouse gas (GHG) emissions and hazardous waste in healthcare.1–3 Several gastroenterology associations have issued guidelines and standards for proper endoscope reprocessing to ensure patient safety and prevent health risks.4 5 Digestive endoscopes are included in the ‘semicritical’ category of items as they contact mucous membranes, thus, the need for high-level disinfection, which, according to the Center for Disease Control (CDC), is defined as the ‘complete elimination of all microorganisms in or on an instrument, except for small numbers of bacterial spores’. This is achieved using high-level disinfectants, peracetic acid being the one used by the unit. However, the impact of this essential process remains largely unknown. Recently, Pioche et al 6 highlighted that—in the life cycle assessment (LCA) of gastroscopes—the decontamination stage of reusable gastroscopes was the greatest contributor to GHG emissions accounting for more than 90% of water consumption and 45% of carbon footprint. The goal of this study is to quantify the environmental burden of reusable endoscope reprocessing, …","PeriodicalId":12825,"journal":{"name":"Gut","volume":"51 1","pages":""},"PeriodicalIF":23.0000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gut","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/gutjnl-2024-334457","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Effective reprocessing of reusable GI endoscopes is crucial to minimising patient risks associated with contamination. However, this process poses a considerable environmental challenge. This study aimed to examine the emissions associated with endoscope disinfection, a largely unexplored area. On average, a reprocessing cycle required 57 L water, 65 L air, 1080 watts of electricity and produced 3.30 kgCO2e. These findings highlight the pressing need for sustainable solutions to reduce the environmental impact of endoscope reprocessing while ensuring patient safety remains uncompromised. GI endoscopy represents a significant contributor to greenhouse gas (GHG) emissions and hazardous waste in healthcare.1–3 Several gastroenterology associations have issued guidelines and standards for proper endoscope reprocessing to ensure patient safety and prevent health risks.4 5 Digestive endoscopes are included in the ‘semicritical’ category of items as they contact mucous membranes, thus, the need for high-level disinfection, which, according to the Center for Disease Control (CDC), is defined as the ‘complete elimination of all microorganisms in or on an instrument, except for small numbers of bacterial spores’. This is achieved using high-level disinfectants, peracetic acid being the one used by the unit. However, the impact of this essential process remains largely unknown. Recently, Pioche et al 6 highlighted that—in the life cycle assessment (LCA) of gastroscopes—the decontamination stage of reusable gastroscopes was the greatest contributor to GHG emissions accounting for more than 90% of water consumption and 45% of carbon footprint. The goal of this study is to quantify the environmental burden of reusable endoscope reprocessing, …
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
求助全文
约1分钟内获得全文 去求助
来源期刊
Gut
Gut 医学-胃肠肝病学
CiteScore
45.70
自引率
2.40%
发文量
284
审稿时长
1.5 months
期刊介绍: Gut is a renowned international journal specializing in gastroenterology and hepatology, known for its high-quality clinical research covering the alimentary tract, liver, biliary tree, and pancreas. It offers authoritative and current coverage across all aspects of gastroenterology and hepatology, featuring articles on emerging disease mechanisms and innovative diagnostic and therapeutic approaches authored by leading experts. As the flagship journal of BMJ's gastroenterology portfolio, Gut is accompanied by two companion journals: Frontline Gastroenterology, focusing on education and practice-oriented papers, and BMJ Open Gastroenterology for open access original research.
期刊最新文献
GPR171 restrains intestinal inflammation by suppressing FABP5-mediated Th17 cell differentiation and lipid metabolism British Society of Gastroenterology practice guidance on the management of acute and chronic gastrointestinal symptoms and complications as a result of treatment for cancer Unravelling lipidomic disruptions across multiple tissues in Chd8-mutant ASD mice through integration of lipidomics and single-cell transcriptomics. Environmental and healthcare trade-offs between single-use and reusable gastroscopes. Exploring the role of genetics, gut microbiota and blood metabolites in IBD.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1