BackgroundThe worldwide prevalence of inflammatory bowel disease (IBD) is increasing, with its potential evolution as a global disease and a consequent increase in its burden on healthcare systems. These estimates do not factor in the ‘real’ price of IBD, which, beyond curbing career aspirations, instilling social stigma, and impairing the quality of life in patients, could also significantly affect the environment.AimTo highlight potential areas for intervention and develop management strategies aimed at minimising environmental impacts in the field of IBD over time.MethodsVarious aspects of IBD care (organisation of IBD centres, diagnostics and therapeutics) are examined from an environmental sustainability perspective.ResultsEach stage, from the patient's means of transport to the hospital to the physician's diagnostic and therapeutic decisions, contribute to CO2 and waste production. Strategies to contain the environmental impact are feasible. Some are easy to implement, such as ensuring the appropriateness of the diagnostic and therapeutic pathway for patients; others need to be implemented in synergy with healthcare providers' policies and pharmaceutical companies.ConclusionsWith an inevitable increase in the number of patient visits, endoscopies, laboratory testing, and long‐term therapeutic strategies for IBD, the clinical community should be aware of environmental concerns and investigate possible strategies to reduce the environmental impact of IBD care.

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评论文章：IBD 的绿色管理——环保方法的新范式


背景炎症性肠病 （IBD） 的全球患病率正在增加，其可能演变为一种全球性疾病，从而增加其对医疗保健系统的负担。这些估计没有考虑到 IBD 的“真实”价格，除了抑制职业抱负、灌输社会耻辱和损害患者的生活质量外，它还可能对环境产生重大影响。目的突出潜在的干预领域并制定管理策略，旨在随着时间的推移最大限度地减少 IBD 领域的环境影响。方法从环境可持续性的角度检查 IBD 护理的各个方面（IBD 中心的组织、诊断和治疗）。结果从患者到医院的交通方式到医生的诊断和治疗决策，每个阶段都会导致 CO2 和废物的产生。控制环境影响的策略是可行的。有些措施易于实施，例如确保诊断和治疗途径对患者的适当性;其他项目需要与医疗保健提供者的政策和制药公司协同实施。结论随着 IBD 的患者就诊、内窥镜检查、实验室检查和长期治疗策略不可避免地增加，临床界应意识到环境问题并研究减少 IBD 护理对环境影响的可能策略。