SynthesisJournal of gastroenterology and hepatology2026
Workforce Perception and Awareness of Sustainability in Gastrointestinal Endoscopy: A Systematic Review of Green Endoscopy.
Synthesis in Journal of gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
13 authors.
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Abstract
backgroundGastrointestinal (GI) endoscopy is a high-throughput, resource-intensive specialty with a substantial environmental impact. As healthcare systems move toward sustainability, the concept of "green endoscopy" (GE) has gained traction. However, the perceptions and engagement of the endoscopy workforce remain underexplored.
objectiveThis systematic review aimed to evaluate awareness, attitudes, and perceived barriers among healthcare professionals regarding sustainability in endoscopy and to synthesize existing knowledge on workforce engagement with GE practices.
methodsA systematic search of PubMed, Embase, and the Cochrane Library was conducted up to April 1, 2025, supplemented by gray literature. Included studies reported original data on healthcare professionals' knowledge, attitudes, or practices related to sustainable endoscopy. Due to heterogeneity, a synthesis without meta-analysis (SWiM) approach was used.
resultsFive cross-sectional studies involving 1684 participants across various regions were included. Awareness of GE ranged from 16.3% to 67%. While most respondents acknowledged the environmental burden of endoscopy, fewer reported institutional guidelines or training. Key barriers included lack of knowledge (35%), absence of institutional policy (32%), infection control concerns (41%), and financial constraints (26%). Few departments conducted audits or offered sustainability education. A generational divide was noted, with senior staff expressing greater environmental concern.
conclusionAlthough global interest in sustainable endoscopy is rising, a significant gap exists between awareness and practice. Structured education, clear institutional policies, and support from professional bodies are essential to embed sustainability within endoscopy services.
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