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Life cycle assessment of routinely used endoscopic instruments and simple intervention to reduce our environmental impact

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Life cycle assessment of routinely used endoscopic instruments and simple intervention to reduce our environmental impact

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dc.contributor.author López-Muñoz, Pedro es_ES
dc.contributor.author Martín-Cabezuelo, Rubén es_ES
dc.contributor.author Lorenzo-Zúñiga, Vicente es_ES
dc.contributor.author Vilariño-Feltrer, Guillermo es_ES
dc.contributor.author Tort-Ausina, Isabel es_ES
dc.contributor.author Vidaurre, Ana es_ES
dc.contributor.author Pons Beltrán, Vicente es_ES
dc.date.accessioned 2024-01-03T19:04:35Z
dc.date.available 2024-01-03T19:04:35Z
dc.date.issued 2023-09 es_ES
dc.identifier.issn 0017-5749 es_ES
dc.identifier.uri http://hdl.handle.net/10251/201433
dc.description.abstract [EN] Objectives GI endoscopy units represent the third largest producers of medical waste. We aimed to determine endoscopic instrument composition and life cycle assessment (LCA) and to assess a sustainability proposal based on a mark on the instruments that identifies parts can be safely recycled or ¿green mark¿. Design Material composition analysis and LCA of forceps, snares and clips from four different manufacturers (A¿D) were performed with four different methods. Carbon footprint from production, transportation and end of life of these instruments was calculated. In 30 consecutive procedures, we marked the contact point with the working channel. 5 cm away from that point was considered as green mark. One-week prospective study was conducted with 184 procedures evaluating 143 instruments (75 forceps, 49 snares and 19 haemoclips) to assess the efficacy of this recyclable mark. Results Composition from different manufacturers varied widely. Most common materials were high global warming potential (GWP) waste (polyethylene, polypropylene and acrylonitrile) and low GWP waste (stainless steel). Significant differences were found for the forceps (0.31¿0.47 kg of CO2 equivalent (CO2 -eq)) and haemoclips (0.41¿0.57 kg CO2 -eq) between the manufacturers. Green mark was established 131.26 cm for gastroscope and 195.32 cm for colonoscope. Oneweek activity produced 67.74 kg CO2 -eq. Applying our sustainability intervention, we could reduce up to 27.44% (18.26 kg CO2 -eq). This allows the recycling of 61.7% of the instrument total weight (4.69 kg). Conclusion Knowledge of carbon footprint is crucial to select the most sustainable alternatives because there are large variations between brands. A mark to identify recyclable parts could reduce our environmental impact significantly. es_ES
dc.language Inglés es_ES
dc.publisher BMJ Publishing Group es_ES
dc.relation.ispartof Gut es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Green endoscopy es_ES
dc.subject Material composition es_ES
dc.subject Endoscopic instruments es_ES
dc.subject Life-cycle assessment es_ES
dc.subject Recyclable point es_ES
dc.subject.classification FISICA APLICADA es_ES
dc.subject.classification MAQUINAS Y MOTORES TERMICOS es_ES
dc.title Life cycle assessment of routinely used endoscopic instruments and simple intervention to reduce our environmental impact es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1136/gutjnl-2023-329544 es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII)/PI21%2F00193/ES/DESARROLLO DE ENDOFIS, UN NUEVO PRODUCTO SANITARIO PARA EL TRATAMIENTO ENDOSCOPICO DE LAS FISTULAS POSQUIRURGICAS DEL TRACTO DIGESTIVO/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Técnica Superior de Gestión en la Edificación - Escola Tècnica Superior de Gestió en l'Edificació es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Técnica Superior de Ingenieros Industriales - Escola Tècnica Superior d'Enginyers Industrials es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Física Aplicada - Departament de Física Aplicada es_ES
dc.description.bibliographicCitation López-Muñoz, P.; Martín-Cabezuelo, R.; Lorenzo-Zúñiga, V.; Vilariño-Feltrer, G.; Tort-Ausina, I.; Vidaurre, A.; Pons Beltrán, V. (2023). Life cycle assessment of routinely used endoscopic instruments and simple intervention to reduce our environmental impact. Gut. 72(9):1692-1697. https://doi.org/10.1136/gutjnl-2023-329544 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1136/gutjnl-2023-329544 es_ES
dc.description.upvformatpinicio 1692 es_ES
dc.description.upvformatpfin 1697 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 72 es_ES
dc.description.issue 9 es_ES
dc.identifier.pmid 37185655 es_ES
dc.relation.pasarela S\492447 es_ES
dc.contributor.funder Instituto de Salud Carlos III es_ES
dc.subject.ods 03.- Garantizar una vida saludable y promover el bienestar para todos y todas en todas las edades es_ES
dc.subject.ods 12.- Garantizar las pautas de consumo y de producción sostenibles es_ES
dc.subject.ods 13.- Tomar medidas urgentes para combatir el cambio climático y sus efectos es_ES


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