结肠囊内镜:它可以促进绿色内镜吗?
1Endoscopy Center, Aishinkai Nakae Hospital, Wakayama-shi 6408461, Japan. parupurikopui@yahoo.co.jp.
World journal of gastrointestinal endoscopy
|December 30, 2024
概括
结肠镜检查会产生大量的废物和二氧化碳排放. 结肠囊内镜可能为结肠直肠癌查提供更绿色的替代方案,但需要进一步的研究来确认其对环境的好处.
科学领域:
- 环境科学与公共卫生
- 胃肠病学和医疗技术
背景情况:
- 持续的二氧化碳 (CO2) 排放来自人类活动,包括医疗保健,加剧气候变化并构成生存威胁.
- 胃肠道内镜,特别是结肠镜 (CS) 用于结肠直肠癌 (CRC) 查,通过大量的废物产生和资源消耗,有助于环境污染.
- 目前的CRC查方法,如结肠镜检查,涉及一次性材料和清洁剂,导致严重的环境影响.
研究的目的:
- 评估结肠囊内镜 (CCE) 作为常规结肠镜 (CS) 的环境更可持续的替代方案,用于结肠直肠癌查的潜力.
- 突出当前消化肠道内镜实践对环境的影响以及对更绿色医疗保健解决方案的需求.
主要方法:
- 与结肠镜 (CS) 和结肠囊内镜 (CCE) 相关的环境影响的比较分析.
- 对这两种选方法的二氧化碳排放,废物产生和资源利用进行审查.
- 评估关于CCE环境足迹的现有局限性和数据缺口.
主要成果:
- 结肠镜 (CS) 产生大量的不可再生废物和二氧化碳排放,原因是清洁溶液和一次性材料.
- 结肠囊内镜 (CCE) 具有通过更简单的程序减少二氧化碳排放的潜力,但其一次性使用性质和缺乏定义的处置途径需要进行调查.
- 目前缺乏具体数据来量化CCE对环境的影响.
结论:
- 虽然CCE显示出减少结直肠癌查对环境负担的承诺,但与CS相比,其整体可持续性尚未确定.
- 进一步的研究是必要的,以量化CCE对环境的影响,并制定减少废物和负责任的处置的战略.
- 过渡到更环保的查方法对于减轻医疗保健部门对气候变化的贡献至关重要.
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