Gastrointestinal practices, especially endoscopy, have a substantial environmental impact, marked by notable greenhouse gas emissions and waste generation. As the world struggles with climate change, there emerges a pressing need to re-evaluate and reform the environmental footprint within gastrointestinal medicine. The challenge lies in finding a harmonious balance between ensuring clinical effectiveness and upholding environmental responsibility. This task involves recognising that the most significant reduction in the carbon footprint of endoscopy is achieved by avoiding unnecessary procedures; addressing the use of single-use endoscopes and accessories; and extending beyond the procedural suites to include clinics, virtual care, and conferences, among other aspects of gastrointestinal practice. The emerging digital realm in health care is crucial, given the potential environmental advantages of virtual gastroenterological care. Through an in-depth analysis, this review presents a path towards sustainable gastrointestinal practices, emphasising integrated strategies that prioritise both patient care and environmental stewardship.

中文翻译：

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生态胃肠病学：在具有环保意识的环境中培养可持续的临床卓越能力

胃肠道操作，尤其是内窥镜检查，会对环境产生重大影响，其特点是显着的温室气体排放和废物产生。随着世界努力应对气候变化，迫切需要重新评估和改革胃肠道医学的环境足迹。挑战在于在确保临床有效性和维护环境责任之间找到和谐的平衡。这项任务涉及认识到，通过避免不必要的手术可以最大程度地减少内窥镜的碳足迹；解决一次性内窥镜和配件的使用问题；并扩展到程序套件之外，包括诊所、虚拟护理和会议以及胃肠道实践的其他方面。鉴于虚拟胃肠病护理的潜在环境优势，新兴的医疗保健数字领域至关重要。通过深入分析，本综述提出了一条通往可持续胃肠道实践的道路，强调优先考虑患者护理和环境管理的综合策略。