APAGE Position Statements on Green and Sustainability in Gastroenterology, Hepatology, and Gastrointestinal Endoscopy
Issued Date
2025-01-01
Resource Type
ISSN
08159319
eISSN
14401746
Scopus ID
2-s2.0-85216445869
Journal Title
Journal of Gastroenterology and Hepatology (Australia)
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Gastroenterology and Hepatology (Australia) (2025)
Suggested Citation
Ang T., Hang D., Li J., Ho J., Sy-Janairo M., Raja Ali R., Makharia G., Sundaram S., Chantarojanasiri T., Kim H.G., Isayama H., Pausawasdi N., Wu K., Syam A., Aye T., Rehman S., Niriella M., Jurawan R., Wang L., Leung W., Liou J.M., Rizan C., Wu J., Ooi C. APAGE Position Statements on Green and Sustainability in Gastroenterology, Hepatology, and Gastrointestinal Endoscopy. Journal of Gastroenterology and Hepatology (Australia) (2025). doi:10.1111/jgh.16896 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/104227
Title
APAGE Position Statements on Green and Sustainability in Gastroenterology, Hepatology, and Gastrointestinal Endoscopy
Author's Affiliation
Siriraj Hospital
Juntendo University Graduate School of Medicine
Sunway University
Duke-NUS Medical School
Air Force Medical University
Faculty of Medical and Health Sciences
Yangon General Hospital
Hanoi Medical University
University of Kelaniya
Universitas Indonesia
Khyber Medical College
NUS Yong Loo Lin School of Medicine
National Taiwan University College of Medicine
Soonchunhyang University, College of Medicine
Rangsit University
Tata Memorial Hospital
All India Institute of Medical Sciences, New Delhi
Gleneagles Hospital
The University of Hong Kong
Chinese University of Hong Kong
St. Luke's Medical Center—Global City
University School of Medicine
Juntendo University Graduate School of Medicine
Sunway University
Duke-NUS Medical School
Air Force Medical University
Faculty of Medical and Health Sciences
Yangon General Hospital
Hanoi Medical University
University of Kelaniya
Universitas Indonesia
Khyber Medical College
NUS Yong Loo Lin School of Medicine
National Taiwan University College of Medicine
Soonchunhyang University, College of Medicine
Rangsit University
Tata Memorial Hospital
All India Institute of Medical Sciences, New Delhi
Gleneagles Hospital
The University of Hong Kong
Chinese University of Hong Kong
St. Luke's Medical Center—Global City
University School of Medicine
Corresponding Author(s)
Other Contributor(s)
Abstract
Background and Aim: The APAGE Position Statements aimed to provide guidance to healthcare practitioners on clinical practices aligned with climate sustainability. Methods: A taskforce convened by APAGE proposed provisional statements. Twenty-two gastroenterologists from the Asian Pacific region participated in online voting and consensus was assessed through an anonymized and iterative Delphi process. Results: There were five sections that addressed the rationale for climate action, the importance of adopting principles of waste management, clinical practice, gastrointestinal endoscopy, and issues related to advocacy and research. Sixteen statements achieved consensus and included the following: 1. APAGE recommends adopting prompt measures to reduce the carbon footprint of clinical practice due to the importance of climate action and its health cobenefits. 5. APAGE recommends adherence to professional clinical guidelines to optimize clinical care delivery in gastroenterology and hepatology to avoid the environmental impact of unnecessary procedures and tests. 8. APAGE recommends an emphasis on health promotion, disease prevention, and appropriate screening and surveillance, when resources are available, to reduce the environmental impact of managing more advanced diseases that require more intensive resources. 12. APAGE recommends that technological advances in endoscopic imaging and artificial intelligence, when available, be used to improve the precision of endoscopic diagnosis to reduce the risk of missed lesions and need for unnecessary biopsies. 13. APAGE recommends against the routine use of single-use endoscopes. Conclusion: The position statements provide guidance to healthcare practitioners on clinical practices in gastroenterology, hepatology, and endoscopy that promote climate sustainability.