Prospective Evaluation of the Carbon Footprint and Clinical Utility of IBUS Compared to Colonoscopy and Enterography in UC and CD

NCT07431983 — Recruiting, 200 participants, Asian Institute of Gastroenterology, India

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Prospective Evaluation of the Carbon Footprint and Clinical Utility of Intestinal Bowel Ultrasound Compared to Colonoscopy and Enterography in Ulcerative Colitis and Crohn's Disease

RegistryNCT07431983
StatusRecruiting
Study typeObservational
Enrollment200 (Estimated)
SponsorAsian Institute of Gastroenterology, India (Other)
ConditionsUlcerative Colitis (UC), Crohns Disease
Datesstart 2026-03-01, primary completion 2026-12-01 (estimated), completion 2026-12-01 (estimated), first posted 2026-02-25, last updated 2026-05-12
Locations2 sites in India

Related Papers Related Patents Related Grants Related Experts
All trials for Ulcerative Colitis (UC) All trials for Crohns Disease

-Summary

Healthcare contributes approximately 4.4% of global GHG emissions, with diagnostic imaging and endoscopic services being substantial contributors. Colonoscopy and cross-sectional imaging modalities, though indispensable, are associated with high carbon emissions due to electricity use, waste, sterilisation, and transportation. IBUS, a non-invasive, real-time diagnostic modality, is increasingly validated for disease activity assessment in both UC and CD.

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+Detailed description

Healthcare contributes approximately 4.4% of global GHG emissions, with diagnostic imaging and endoscopic services being substantial contributors. Colonoscopy and cross-sectional imaging modalities, though indispensable, are associated with high carbon emissions due to electricity use, waste, sterilisation, and transportation. IBUS, a non-invasive, real-time diagnostic modality, is increasingly validated for disease activity assessment in both UC and CD. Its low energy footprint and portability make it a potential frontline tool for sustainable IBD follow-up. This study aims to quantify and compare the environmental impact and diagnostic value of IBUS versus conventional imaging strategies in real-world clinical care.

+Arms and interventions

ArmTypeInterventionsDescription
Ulcerative colitiscarbon footprint and clinical usefulness of Intestinal Bowel Ultrasound (IBUS) with standard imaging colonoscopy in patients with Ulcerative Colitis Colonoscopy+ IBUS
Crohns diseasecarbon footprint and clinical usefulness of Intestinal Bowel Ultrasound (IBUS) with standard imaging CT/MRI enterography in patients with Crohn's Disease CT/MRI enterography+ IBUS

+Outcome measures

Primary outcomes

  • The electricity consumed, water consumed, waste generated, and Greenhouse Gas (GHG) emissions will be analyzed [12 months]: The waste generated will be stratified according to the methods of disposal as Direct landfill, Incineration, and landfill or Recyclable waste. The electricity consumed, water consumed, waste generated, and Greenhouse Gas (GHG) emissions will be analyzed. The unit of emissions will remain same kgCO2e and the total emissions will then be calculated.

+Eligibility

Sex: All, ages: 18 Years to 80 Years

All consecutive patients undergoing endoscopy procedures with consent for procedures, during the study period will be included

+Locations (2)

FacilityCityCountryStatus
AIG HospitalsHyderabad, TelanganaIndiaRecruiting
AIG HospitalsHyderabad, TelanganaIndiaRecruiting

+Publications

  • Results publication: Expert Panel on Pediatric Imaging; Moore MM, Gee MS, Iyer RS, Chan SS, Ayers TD, Bardo DME, Chandra T, Cooper ML, Dotson JL, Gadepalli SK, Gill AE, Levin TL, Nadel HR, Schooler GR, Shet NS, Squires JH, Trout AT, Wall JJ, Rigsby CK. ACR Appropriateness Criteria(R) Crohn Disease-Child. J Am Coll Radiol. 2022 May;19(5S):S19-S36. doi: 10.1016/j.jacr.2022.02.020. PMID 35550801
  • Results publication: Namburar S, von Renteln D, Damianos J, Bradish L, Barrett J, Aguilera-Fish A, Cushman-Roisin B, Pohl H. Estimating the environmental impact of disposable endoscopic equipment and endoscopes. Gut. 2022 Jul;71(7):1326-1331. doi: 10.1136/gutjnl-2021-324729. Epub 2021 Dec 1. PMID 34853058
  • Results publication: Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler PP, Chaves LSM, Capon A, Pencheon D. The environmental footprint of health care: a global assessment. Lancet Planet Health. 2020 Jul;4(7):e271-e279. doi: 10.1016/S2542-5196(20)30121-2. PMID 32681898