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Environmental protection initiatives in GI Endoscopy​

Green recycling sign

At Boston Scientific, we recognize the importance of placing sustainability at the forefront of endoscopy, an area often characterized by resource-intensive practices and results in substantial waste production.

In alignment with the ESGE and ESGENA position statement1, our commitment is to transform GI Endoscopy into a net-zero greenhouse gas emissions practice by 2050. This commitment has been approved under the Science Based Targets Initiative (SBTi) net-zero standard.​

​Environmental impacts in GI Endoscopy include a range of aspects, such as:​

  • The development and manufacturing of endoscopes and their associated accessories​

  • Sustainable patient and staff transportation/mobility​

  • Energy requirements associated with education, research, and administrative activities.​

 These are all areas in which we can provide support and make a positive impact.​

Cholangiography as an outpatient procedure can help reduce the environmental impact associated with overnight hospital stays​

According to the NHS, approximately 20% of endoscopic retrograde cholangiopancreatography (ERCP) procedures, which represent 2.6% of the GI Endoscopy workload, are repeated within 1 year.2

The SpyGlass™ DS Cholangioscope may impact on greenhouse gas (GHG)​

The SpyGlass™ DS Cholangioscope impact on greenhouse gas

Using SpyGlass™ DS Cholangioscope may results in a reduction of 79% in greenhouse gas emission as a result of reduced hospital readmission.*3-6

Virtual and online education to reduce travel​

Virtual and online education to reduce travel

Programs and platforms such the Personal Development Programs (PDPs), EDUCARE and ePreceptor offer healthcare professionals the possibility to access live and interactive training and on-demand learning modules worldwide.​

​Smart Glasses allow remote visual connections between physicians for training and support during endoscopic procedures.​

Addressing the environmental impact of single-use GI endoscopic devices​

environmental impact of single-use GI endoscopic devices

Globally, we removed 170+ metric tons of packaging from our waste stream and 1,000 metric tons of recycled content were used in packaging in 2022.​

​We collaborate with industry peers in the Healthcare Plastics Recycling Council (HPRC) to reduce waste, limit emissions and maximise opportunities to recycle.​

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*Results could vary based on hospital usage, since the model assumed a 200 patient throughput and every hospital won’t have the same stone clearance rate.​

  1. ​De Santiago, E. R. et al. (2022) Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement. Endoscopy, 54(08), 797–826. ​
  2. NHS Digital (2022), Hospital Episode Statistics (HES): Admitted patient care - provider level analysis. Available at Date accessed: June 2022.​
  3. Sustainable Care Pathways Guidance: Inpatient bed day module published 2015, Surgical Procedure Module Published 2015 Sustainable Care Pathways Guidance – Sustainable Healthcare Coalition: ( ​
  4. Sustainable Care Pathways Guidance: Patient travel module published 2015, Surgical Procedure Module Published 2015 Sustainable Care Pathways Guidance – Sustainable Healthcare Coalition: (​
  5. Mirante, V. G. et al. (2023), Delivering sustainable efficiencies in endoscopy: environmental impact of single-use cholangioscope., Endoscopy, 55(S 02), eP484. ​
  6. Data on file, using following literature as a reference: Deprez et al. (2018) Sustainable Healthcare Coalition: (​
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