Released on Oct 18, 2022

Multi-GI Society Task Force Releases Path to Environmentally Sustainable GI Practice

A task force of GIs from the four major U.S. gastroenterology (GI) societies – American Association for the Study of Liver Diseases (AASLD), American College of Gastroenterology (ACG), American Gastroenterological Association (AGA) and American Society for Gastrointestinal Endoscopy (ASGE) – have released a multi-society strategic plan outlining goals and milestones the GI specialty needs to achieve to reduce the environmental impact of the practice.  

Key takeaway: As a procedure intense subspecialty, gastroenterology, and in particular endoscopy, is a major contributor to health care’s carbon footprint and other environmental impacts. Endoscopy is the third largest generator of medical waste in a hospital (2 kg total waste per procedure) with most ending in landfills. With this strategic plan, the participating societies are committed to promoting and supporting a sustainable, high-quality GI practice. 

The U.S. GI multi-society strategic plan, which has also been endorsed by 23 GI societies globally (see below), is a collaborative effort that invites members to undertake initiatives to establish an environmentally sustainable, high-quality practice and promote planetary health. Each society will prioritize and adapt their initiatives in accordance with their individual societal goals. Some initiatives may be undertaken by a single society, whereas other objectives and initiatives may be approached jointly. It is a five-year plan that covers seven major domains:  

  • Clinical setting 
  • Education 
  • Research 
  • Society efforts 
  • Intersociety efforts 
  • Industry  
  • Advocacy 

The plan was developed by the U.S. Multi-GI Society Task Force on Climate Change, which is comprised of leading experts from AASLD, ACG, AGA and ASGE.  

For more information, view the full publication: GI multisociety strategic plan on environmental sustainability, published in Gastroenterology, Gastrointestinal Endoscopy, HEPATOLOGY and The American Journal of Gastroenterology. 

Endorsing Societies of the Strategic Plan of the U.S. Multi-GI Society Task Force on Climate Change 

  • African Middle East Association for Gastroenterology 
  • American Neurogastroenterology and Motility Association 
  • American Pancreatic Association 
  • Asia Pacific Association of Gastroenterology 
  • Association of Black Gastroenterologists and Hepatologists 
  • British Association for the Study of the Liver 
  • British Society of Gastroenterology 
  • Canadian Association of Gastroenterology 
  • Crohn’s & Colitis Foundation 
  • Digestive Health Physicians Association 
  • European Association for the Study of the Liver 
  • Gastroenterology and Hepatology Advanced Practice Providers 
  • Indian Society of Gastroenterology 
  • Iranian Association of Gastroenterology and Hepatology 
  • Israeli Association for the Study of the Liver 
  • Malaysian Society of Gastroenterology and Hepatology 
  • North American Society for Pediatric Gastroenterology, Hepatology & Nutrition 
  • Norwegian Gastroenterology Society 
  • Pan American Organization of Gastroenterology 
  • Society of Gastroenterology Nurses and Associates 
  • Women in Endoscopy 
  • World Endoscopy Organization 
  • World Gastroenterology Organization 

About Gastrointestinal Endoscopy
Gastrointestinal endoscopic procedures allow the gastroenterologist to visually inspect the upper gastrointestinal tract (esophagus, stomach and duodenum) and the lower bowel (colon and rectum) through an endoscope, a thin, flexible device with a lighted end and a powerful lens system. Endoscopy has been a major advance in the treatment of gastrointestinal diseases. For example, the use of endoscopes allows the detection of ulcers, cancers, polyps and sites of internal bleeding. Through endoscopy, tissue samples (biopsies) may be obtained, areas of blockage can be opened and active bleeding can be stopped. Polyps in the colon can be removed, which has been shown to prevent colon cancer.

About the American Society for Gastrointestinal Endoscopy
Since its founding in 1941, the American Society for Gastrointestinal Endoscopy (ASGE) has been dedicated to advancing patient care and digestive health by promoting excellence and innovation in gastrointestinal endoscopy. ASGE, with almost 15,000 members worldwide, promotes the highest standards for endoscopic training and practice, fosters endoscopic research, recognizes distinguished contributions to endoscopy, and is the foremost resource for endoscopic education. Visit and for more information and to find a qualified doctor in your area.


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F (630) 963-8332

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