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Sustainability in gastroenterology and digestive endoscopy: Position Paper from the Italian Association of Hospital Gastroenterologists and Digestive Endoscopists (AIGO)

  • Author Footnotes
    ⁎ Francesco Bortoluzzi and Andrea Sorge are co-first authors.
    Francesco Bortoluzzi
    Footnotes
    ⁎ Francesco Bortoluzzi and Andrea Sorge are co-first authors.
    Affiliations
    Gastrointestinal Unit, Ospedale dell'Angelo, Venice, Italy

    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy
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  • Author Footnotes
    ⁎ Francesco Bortoluzzi and Andrea Sorge are co-first authors.
    Andrea Sorge
    Footnotes
    ⁎ Francesco Bortoluzzi and Andrea Sorge are co-first authors.
    Affiliations
    Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

    Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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  • Roberto Vassallo
    Affiliations
    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy

    Gastroenterology and Endoscopy Unit, Buccheri la Ferla Hospital, Palermo, Italy
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  • Luigi Maria Montalbano
    Affiliations
    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy

    Gastroenterology and Endoscopy Unit, Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, Palermo, Italy
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  • Fabio Monica
    Affiliations
    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy

    Gastroenterology and Digestive Endoscopy Unit, Academic Hospital Cattinara, Trieste, Italy
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  • Sergio La Mura
    Affiliations
    Contract Professor, Politecnico di Milano, Milan, Italy
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  • Daniele Canova
    Affiliations
    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy

    Gastroenterology and Endoscopy Unit, San Bortolo Hospital, Vicenza, Italy
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  • Davide Checchin
    Affiliations
    Gastrointestinal Unit, Ospedale dell'Angelo, Venice, Italy

    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy
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  • Paolo Fedeli
    Affiliations
    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy

    Gastroenterology and Endoscopy Unit, Santo Spirito Hospital, Rome, Italy
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  • Riccardo Marmo
    Affiliations
    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy

    Gastroenterology and Endoscopy Unit, PO Polla, ASL Salerno, Italy
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  • Luca Elli
    Correspondence
    Correspondening author at: Center for Prevention and Diagnosis of Celiac Disease-Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan 20122, Lombardia, Italy
    Affiliations
    Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

    Quality Committee, Italian Association Hospital Gastroenterologists and Endoscopists (AIGO), Rome, Italy
    Search for articles by this author
  • on behalf of theItalian Association of Hospital Gastroenterologists and Digestive Endoscopists (AIGO)
  • Author Footnotes
    ⁎ Francesco Bortoluzzi and Andrea Sorge are co-first authors.
Published:September 10, 2022DOI:https://doi.org/10.1016/j.dld.2022.08.018

      Abstract

      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.

      Keywords

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