Evidence map›Paper›PMID 41582104›Full record

ReviewEuropean journal of pediatrics2026

Environmentally friendly pediatric gastroenterology: a narrative review.

Eleonora Borrione, Saverio Pochesci, Naz Tuzger, Sofia Francione, Carolina Bronzoni, Antonio Corsello, Luca Scarallo, Claudio Romano

Abstract readReview
In one paragraph

Review in European journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Eleonora BorrioneDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Saverio PochesciDepartment of Paediatric Gastroenterology, Hepatology and Nutrition, Royal Hospital for Children & Young People, Edinburgh, UK.
Naz TuzgerDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Sofia FrancioneDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Carolina BronzoniDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Antonio CorselloDepartment of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy. antonio.corsello01@universitadipavia.it.
Luca ScaralloGastroenterology and Nutrition Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Claudio RomanoPediatric Gastroenterology and Cystic Fibrosis Unit, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital "G. Martino", Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical care might be highly resource-intensive, with a significant contribution to greenhouse gas emissions and waste generation. This narrative review aims to provide a synopsis of the current evidence and strategies to promote a "green" pediatric gastroenterology practice. We conducted a narrative review of current literature, international guidelines, and policy recommendations from global health and gastroenterology organizations. Evidence on sustainable strategies, including hygiene, nutrition, vaccination, diagnostic methods, therapies, telemedicine, and digital health, was synthesized to provide an overview of "green" pediatric gastroenterology. Preventive measures such as breastfeeding, sustainable diets, and vaccination decrease gastrointestinal disease burden and environmental impact. Diagnostic sustainability involves avoiding unnecessary tests, using non-invasive biomarkers, and adopting green endoscopy principles. Treatment innovations, dietary approaches, home-based care, and environmentally conscious drug production should promote eco-friendly management. During follow-up, telemedicine, electronic health records, and non-invasive monitoring minimize waste and emissions.

conclusionPreventive strategies, diagnostic tools, treatment options, and follow-up methods will facilitate and promote a more sustainable pediatric gastroenterology. A "green" approach simultaneously advances planetary and child health, aligning with the pediatric mission to safeguard long-term well-being for future generations. WHAT IS KNOWN: • Hospitals contribute substantially to healthcare's environmental footprint through energy use, waste, and high-impact procedures. • Evidence-based measures already reduce impact without compromising care: prevention (vaccination, breastfeeding, hygiene), rational diagnostics, and telemedicine can lower emissions and waste. WHAT IS NEW: • This review integrates sustainability across prevention, diagnosis, treatment, and follow-up, highlighting practical actions such as endoscopy optimization, selective biopsy, eco-friendlier imaging, and medication stewardship • Diet-forward strategies, recyclable packaging innovations, and structured telemedicine/remote monitoring could reduce emissions while maintaining clinical effectiveness.

Indexed as

GastroenterologyGastrointestinal DiseasesPediatricsChildDigital HealthHumansTelemedicineEnvironmental impactGreenOptimizationPediatric gastroenterologyPreventionSustainabilityTelemedicine

Identifiers

PMID41582104
PMCPMC12832583

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.