Measuring Medical Waste from Gastrointestinal Endoscopies in South Korea to Estimate Their Carbon Footprint.

IF 3.4 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Gut and Liver Pub Date : 2025-01-15 Epub Date: 2025-01-03 DOI:10.5009/gnl240209
Da Hyun Jung, Hyun Jung Lee, Tae Joo Jeon, Young Sin Cho, Bo Ra Kang, Nae Sun Youn, Jae Myung Cha
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引用次数: 0

Abstract

Background/aims: Although gastrointestinal endoscopy (GIE) is a major contributor to the carbon footprint of national healthcare, the amount of medical waste generated by GIE procedures is not reported in South Korea. This study aimed to measure the amount of medical waste generated from GIE procedures in South Korea.

Methods: We conducted a 5-day audit of medical waste generated during GIEs at seven hospitals. During the study period, medical waste in the endoscopy examination rooms was measured twice daily and documented as mass (kg). To calculate the mean mass of disposable waste generated during one esophagogastroduodenoscopy (EGD) and one colonoscopy, the mean mass of medical waste generated from seven examinations was calculated. The mean mass of medical waste generated during GIEs was calculated by dividing the total mass of medical waste generated by the number of GIE procedures.

Results: Overall, 3,922 endoscopies were performed and 4,558 kg of waste was generated. The mean weight of medical waste generated per endoscopy was 1.34 kg. Each EGD and colonoscopy generated a mean of 0.24 kg and 0.43 kg of disposable waste, respectively. Applying the mean waste estimates from this study to annual GIE procedures performed in South Korea in 2022 showed that the total medical waste produced from GIE was 13,704,453 kg. In addition, the total masses of medical waste produced during EGD and colonoscopy procedures were 819,766 kg and 2,889,478 kg, respectively.

Conclusions: Our quantitative measurement showed that a large amount of medical waste is generated from GIE procedures. However, further research is warranted to reduce medical waste generated during GIE, which is an urgent unmet need.

测量韩国胃肠道内窥镜检查产生的医疗废物以估计其碳足迹。
背景/目的:虽然胃肠道内窥镜检查(GIE)是国家医疗保健碳足迹的主要贡献者,但在韩国,胃肠内窥镜检查程序产生的医疗废物数量尚未报告。本研究旨在测量韩国GIE程序产生的医疗废物量。方法:对7家医院进行为期5天的医疗废弃物审计。在研究期间,每天两次测量内窥镜检查室的医疗废物,并记录质量(kg)。为了计算一次食管胃十二指肠镜检查和一次结肠镜检查产生的一次性废物的平均质量,我们计算了7次检查产生的医疗废物的平均质量。医疗废物总质量除以医疗废物处理次数,计算医疗废物处理过程中产生的医疗废物平均质量。结果:总共进行了3,922次内窥镜检查,产生了4,558 kg的废物。每次内镜检查产生的医疗废物平均重量为1.34 kg。每次EGD和结肠镜检查平均分别产生0.24 kg和0.43 kg的一次性废物。将本研究的平均废物估计值应用于韩国2022年进行的年度废物处理程序,结果显示,废物处理产生的医疗废物总量为13,704,453公斤。此外,EGD和结肠镜检查过程中产生的医疗废物总质量分别为819,766公斤和2,889,478公斤。结论:我们的定量测量表明,GIE过程产生了大量的医疗废物。然而,减少GIE过程中产生的医疗废弃物,这是一个迫切的未满足的需求,需要进一步的研究。
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来源期刊
Gut and Liver
Gut and Liver 医学-胃肠肝病学
CiteScore
7.50
自引率
8.80%
发文量
119
审稿时长
6-12 weeks
期刊介绍: Gut and Liver is an international journal of gastroenterology, focusing on the gastrointestinal tract, liver, biliary tree, pancreas, motility, and neurogastroenterology. Gut and Liver delivers up-to-date, authoritative papers on both clinical and research-based topics in gastroenterology. The Journal publishes original articles, case reports, brief communications, letters to the editor and invited review articles in the field of gastroenterology. The Journal is operated by internationally renowned editorial boards and designed to provide a global opportunity to promote academic developments in the field of gastroenterology and hepatology. Gut and Liver is jointly owned and operated by 8 affiliated societies in the field of gastroenterology, namely: the Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, the Korean College of Helicobacter and Upper Gastrointestinal Research, the Korean Association for the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, the Korean Pancreatobiliary Association, and the Korean Society of Gastrointestinal Cancer.
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