Table 1

Hospital endoscopic procedure volume and waste generated during 5-day audit

AllLow endoscopy volume centreHigh endoscopy volume centreRelative difference*
Endoscopic procedures per year, n15 000200013 0006.50
Procedures performed during 5-day audit, n278372416.51
 Colonoscopies, n135211145.43
 EGD, n1121010210.20
 ERCP, n7252.50
 EUS, n1711616.00
 Sigmoidoscopy, n7341.33
Waste produced during 5-day audit†
 Volume, n trash bins (20 Ga or 76 L)190191718.95
 Mass, kg619735467.51
Waste per endoscopy
Volume, n bins (20 Gal or 76 L)0.610.520.711.37
 Direct landfill waste, n bins (%)0.41 (67)0.38 (74)0.43 (61)
 Biohazard waste, n bins (%)0.10 (17)0.14 (26)0.07 (10)
 Recycled waste, n bins (%)0.10 (17)0 (0)0.21 (29)
Volume, m3 0.050.040.051.37
Mass, in kg2.111.962.271.15
 Direct landfill waste, kg (%)1.34 (64)1.33 (68)1.36 (60)1.03
 Biohazard waste, kg (%)0.59 (28)0.64 (32)0.54 (24)0.85
 Recycled waste, kg (%)0.18 (9)0 (0)36 (16)
Waste of reprocessing one endoscope
 Volume, trash bins (20 Gal or 75 L)0.07N/A0.08
 Volume, m3 0.005N/A0.006
 Mass, kg0.30N/A0.33
  • N/A, not available

  • *High vs low volume centre.

  • †Without reprocessing of endoscopes.

  • EGD, esophagogastroduodenoscopy; ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound.