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Environmentally friendly pediatric gastroenterology: a narrative review
Eleonora Borrione1, Saverio Pochesci2, Naz Tuzger1
1Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Promoting a "green" pediatric gastroenterology practice through sustainable prevention, diagnostics, treatment, and follow-up can reduce environmental impact. This approach benefits both planetary health and child well-being.
Area of Science:
- Environmental Health
- Pediatric Gastroenterology
- Sustainable Healthcare
Background:
- Healthcare is resource-intensive, contributing significantly to greenhouse gas emissions and waste.
- Hospitals have a substantial environmental footprint from energy use, waste, and procedures.
- Existing evidence-based measures can reduce healthcare's environmental impact without compromising patient care.
Purpose of the Study:
- To provide a synopsis of current evidence and strategies for a "green" pediatric gastroenterology practice.
- To integrate sustainability across prevention, diagnosis, treatment, and follow-up in pediatric gastroenterology.
- To highlight practical actions for reducing emissions and waste in pediatric gastroenterology.
Main Methods:
- A narrative review of current literature, international guidelines, and policy recommendations.
- Synthesis of evidence on sustainable strategies including hygiene, nutrition, vaccination, diagnostics, therapies, and telemedicine.
- Identification of "green" pediatric gastroenterology principles and practices.
Main Results:
- Preventive measures like breastfeeding, sustainable diets, and vaccination decrease gastrointestinal disease burden and environmental impact.
- Diagnostic sustainability involves avoiding unnecessary tests, using non-invasive biomarkers, and adopting green endoscopy principles.
- Treatment innovations, dietary approaches, home-based care, and eco-friendly drug production promote sustainable management.
- Telemedicine, electronic health records, and non-invasive monitoring minimize waste and emissions during follow-up.
Conclusions:
- Preventive strategies, diagnostic tools, treatment options, and follow-up methods promote a more sustainable pediatric gastroenterology.
- A "green" approach advances planetary and child health, aligning with the pediatric mission.
- Safeguarding long-term well-being for future generations is achieved through sustainable pediatric care.
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