Evidence map›Paper›PMID 40445247›Full record

ArticleTechniques in coloproctology2025

Carbon footprint of common procedures in inflammatory bowel disease.

L Munster, B van der Zwet, J de Groof, M Mundt, O van Ruler, G D'Haens, W Bemelman, C Buskens, M Duijvestein, T Stobernack and 1 more

Abstract read
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In one paragraph

Article in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

L MunsterDepartment of Surgery, Flevoziekenhuis, Almere, The Netherlands. l.munster@amsterdamumc.nl.
B van der ZwetDepartment of Surgery, Flevoziekenhuis, Almere, The Netherlands.
J de GroofDepartment of Surgery, Flevoziekenhuis, Almere, The Netherlands.
M MundtDepartment of Gastroenterology and Hepatology, Flevoziekenhuis, Almere, The Netherlands.
O van RulerDepartment of Surgery, IJsselland Hospital, Erasmus University Medical Center, Rotterdam, The Netherlands.
G D'HaensDepartment of Gastroenterology and Hepatology, Amsterdam UMC (Location VUmc), Amsterdam, The Netherlands.
W BemelmanDepartment of Surgery, Amsterdam UMC (Location VUmc), Amsterdam, The Netherlands. w.a.bemelman@amsterdamumc.nl.
C BuskensDepartment of Surgery, Amsterdam UMC (Location VUmc), Amsterdam, The Netherlands.
M DuijvesteinDepartment of Gastroenterology and Hepatology, Radboud University Medical Center, Nijmegen, The Netherlands.
T StobernackDepartment of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
J van der BiltDepartment of Surgery, Flevoziekenhuis, Almere, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to assess the environmental impact, primarily the carbon footprint of the most common procedures in inflammatory bowel disease (IBD).

methodsIn this study, all processes and products used during a total of eight laparoscopic ileocecal resections (ICRs) in patients with Crohn's disease (CD), eight laparoscopic subtotal colectomies (STCs) for ulcerative colitis (UC), and eight ligation of the intersphincteric fistula tract (LIFT) procedures in patients with Crohn's perianal fistula (PAF) (all in adults ≥ 16 years) between March 2023 and May 2024 were collected. A life cycle assessment (LCA) was conducted, mean CO

resultsThe mean total carbon footprints of laparoscopic ICR, STC, and LIFT were, respectively, 104 kg, 116 kg, and 43.6 kg CO

conclusionsThe carbon footprint of three commonly performed IBD surgeries is mainly determined by transportation of patients/healthcare personnel, followed by electricity and material use. The latter two vary with the complexity of the surgeries. IBD surgeons should focus on minimizing energy resources and using standard surgical materials. Also, employees should be encouraged to travel by foot/bicycle/public transport/carpooling/electric car.

Indexed as

Carbon FootprintColectomyInflammatory Bowel DiseasesLaparoscopyAdultColitis, UlcerativeCrohn DiseaseFemaleHumansLigationMaleMiddle AgedRectal FistulaCarbon footprintCrohn’s diseaseLaparoscopic ileocecal resectionLaparoscopic subtotal colectomyLIFTSustainability

Identifiers

PMID40445247
PMCPMC12125120

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.