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| DOI | 10.1111/jgh.16493 |
| Carbon footprint and cost reduction by endoscopic grading of gastric intestinal metaplasia using narrow-band imaging | |
| 发表日期 | 2024 |
| ISSN | 0815-9319 |
| EISSN | 1440-1746 |
| 起始页码 | 39 |
| 结束页码 | 5 |
| 卷号 | 39期号:5 |
| 英文摘要 | Background and AimGastric intestinal metaplasia (GIM) is a high-risk factor for the development of gastric cancer. Narrow-band imaging (NBI) enables endoscopic grading of GIM (EGGIM). In the era of climate change, gastrointestinal endoscopists are expected to reduce greenhouse gas emissions and medical waste. Based on the diagnostic performance of NBI endoscopy, this study measured the environmental impact and reduced cost of implementing EGGIM during gastroscopy.MethodsUsing NBI endoscopy in 242 patients, EGGIM classification and operative link on GIM (OLGIM) staging were prospectively performed in five different areas (lesser and greater curvatures of the corpus and antrum, and the incisura angularis). We estimated the environmental impact and cost reduction of the biopsy procedures and pathological processing if EGGIM were used instead of OLGIM.ResultsThe diagnostic accuracy of NBI endoscopy for GIM was 93.0-97.1% depending on the gastric area. When a high EGGIM score >= 5 was the cut-off value for predicting OLGIM stages III-IV, the area under the curve was 0.862, sensitivity was 81.9%, and specificity was 90.4%. The reduction in the carbon footprint by EGGIM was -0.4059 kg carbon dioxide equivalents per patient, equivalent to 1 mile driven by a gasoline-powered car. The cost savings were calculated to be $47.36 per patient.ConclusionsEGGIM is a reliable method for identifying high-risk gastric cancer patients, thereby reducing the carbon footprint and medical costs in endoscopy practice. image |
| 英文关键词 | Carbon footprint; EGGIM; Green endoscopy; Narrow-band imaging; OLGIM |
| 语种 | 英语 |
| WOS研究方向 | Gastroenterology & Hepatology |
| WOS类目 | Gastroenterology & Hepatology |
| WOS记录号 | WOS:001146430800001 |
| 来源期刊 | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
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| 文献类型 | 期刊论文 |
| 条目标识符 | http://gcip.llas.ac.cn/handle/2XKMVOVA/298028 |
| 作者单位 | Soonchunhyang University; Soonchunhyang University Hospital; Soonchunhyang University; Soonchunhyang University Hospital; Soonchunhyang University; Soonchunhyang University Hospital; Soonchunhyang University; Soonchunhyang University Hospital |
| 推荐引用方式 GB/T 7714 | . Carbon footprint and cost reduction by endoscopic grading of gastric intestinal metaplasia using narrow-band imaging[J],2024,39(5). |
| APA | (2024).Carbon footprint and cost reduction by endoscopic grading of gastric intestinal metaplasia using narrow-band imaging.JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY,39(5). |
| MLA | "Carbon footprint and cost reduction by endoscopic grading of gastric intestinal metaplasia using narrow-band imaging".JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY 39.5(2024). |
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