{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:54:05Z","timestamp":1785876845042,"version":"3.56.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Sedation practices differ between pediatric and adult endoscopy units and may shape how patients with inflammatory bowel disease (IBD) experience procedures after transfer to adult care.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To evaluate endoscopy-related experiences in pediatric and adult settings among young adults with pediatric-onset IBD following transfer to adult gastroenterology care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a single-centre, cross-sectional survey at an academic institution (June 2024 to February 2025) among young adults (18-25\u2009years) with pediatric-onset IBD who underwent endoscopy in both pediatric and adult settings. Participants reported on procedure-related satisfaction, pain, discomfort, anxiety, and preparedness. Regression analyses identified predictors of these outcomes, and free-text responses were analyzed using qualitative content analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 97 participants (72% female; median diagnosis age 14\u2009years), deep sedation was more common in pediatric (95%) than adult endoscopy (57%). Paired Wilcoxon signed-rank tests showed adult endoscopy was associated with lower satisfaction with sedation (P\u2009=\u2009.0001), greater pain (P\u2009=\u2009.0007), and discomfort (P\u2009=\u2009.0002). There were no significant differences in anxiety (P\u2009=\u2009.47) or satisfaction with preparedness for adult care (P\u2009=\u2009.47). Older age at diagnosis was associated with lower odds of reporting pain (aOR 0.19, 95% CI 0.05-0.70) and anxiety (aOR 0.20, 95% CI 0.05-0.72) during adult endoscopy. Qualitative themes highlighted limited communication and perceived lack of empathy as barriers, while education and provider compassion facilitated positive experiences.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Endoscopy experiences differ between pediatric and adult care. Improving communication, patient education, and shared decision-making around sedation may improve endoscopy experiences in adult settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/jcag\/gwag017","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:44:15Z","timestamp":1778240655000},"page":"258-266","source":"Crossref","is-referenced-by-count":0,"title":["Exploring endoscopy sedation experiences in young adults with pediatric-onset inflammatory bowel disease after transfer to adult gastroenterology care"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9996-4568","authenticated-orcid":false,"given":"Zuhal","family":"Mohmand","sequence":"first","affiliation":[{"name":"Department of Medicine, Queen\u2019s University , Kingston, ON K7L 2V7,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"O\u2019Connor","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Mount Sinai Hospital , Toronto, ON M5G 1X5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4524-9403","authenticated-orcid":false,"given":"Vivian","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Mount Sinai Hospital , Toronto, ON M5G 1X5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Weston and O\u2019Born Centre for Mature Women\u2019s Health, Sinai Health System , Toronto, ON M5G 1X5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Bollegala","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine, Women\u2019s College Hospital , Toronto, ON M5S 1B2,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"2026080416361749700_gwag017-B1","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.14309\/ajg.0000000000002687","article-title":"Forecasting the incidence and prevalence of inflammatory bowel disease: a Canadian nationwide analysis","volume":"119","author":"Coward","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"2026080416361749700_gwag017-B2","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1001\/jamapediatrics.2015.1982","article-title":"Inflammatory bowel disease in children and adolescents","volume":"169","author":"Rosen","year":"2015","journal-title":"JAMA Pediatr"},{"key":"2026080416361749700_gwag017-B3","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1093\/jcag\/gwac004","article-title":"Defining transition success for young adults with inflammatory bowel disease according to patients, parents and health care providers","volume":"5","author":"Bihari","year":"2022","journal-title":"J Can Assoc Gastroenterol"},{"key":"2026080416361749700_gwag017-B4","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1016\/j.jpeds.2018.08.021","article-title":"Health services use during transition from pediatric to adult care for inflammatory bowel disease: a population-based study using health administrative data","volume":"203","author":"Zhao","year":"2018","journal-title":"J Pediatr"},{"key":"2026080416361749700_gwag017-B5","doi-asserted-by":"crossref","first-page":"e55-60","DOI":"10.1016\/j.crohns.2012.05.010","article-title":"Resource utilization during pediatric to adult transfer of care in inflammatory bowel disease","volume":"7","author":"Bollegala","year":"2013","journal-title":"J Crohns Colitis"},{"key":"2026080416361749700_gwag017-B6","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1093\/jcag\/gwae002","article-title":"Perspectives of patients, parents and health care providers on facilitators of and barriers to the transition from pediatric to adult care in inflammatory bowel disease: a qualitative descriptive study","volume":"7","author":"Bihari","year":"2024","journal-title":"J Can Assoc Gastroenterol"},{"key":"2026080416361749700_gwag017-B7","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1093\/jcag\/gwab050","article-title":"Canadian consensus statements on the transition of adolescents and young adults with inflammatory bowel disease from pediatric to adult care: a collaborative initiative between the Canadian IBD Transition Network and Crohn\u2019s and Colitis Canada","volume":"5","author":"Fu","year":"2022","journal-title":"J Can Assoc Gastroenterol"},{"key":"2026080416361749700_gwag017-B8","author":"Crohn\u2019s and Colitis Canada, Sinai Health System","year":"2021"},{"key":"2026080416361749700_gwag017-B9","author":"American Society of Anesthesiologists","year":"2024"},{"key":"2026080416361749700_gwag017-B10","doi-asserted-by":"crossref","DOI":"10.4135\/9781036232078.n9","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun","year":"2021"},{"key":"2026080416361749700_gwag017-B11","first-page":"365","volume-title":"Approaches to Qualitative Research in Mathematics Education","author":"Mayring","year":"2014"},{"key":"2026080416361749700_gwag017-B12","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1155\/2011\/783706","article-title":"A survey of sedation practices for colonoscopy in Canada","volume":"25","author":"Porostocky","year":"2011","journal-title":"Can J Gastroenterol"},{"key":"2026080416361749700_gwag017-B13","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1016\/j.gie.2019.12.047","article-title":"Propofol versus midazolam with or without short-acting opioids for sedation in colonoscopy: a systematic review and meta-analysis of safety, satisfaction, and efficiency outcomes","volume":"91","author":"Dossa","year":"2020","journal-title":"Gastrointest Endosc"},{"key":"2026080416361749700_gwag017-B14","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1136\/flgastro-2015-100574","article-title":"What do patients want from their endoscopy experience? The importance of measuring and understanding patient attitudes to their care","volume":"7","author":"Tierney","year":"2016","journal-title":"Frontline Gastroenterol"},{"key":"2026080416361749700_gwag017-B15","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1093\/jcag\/gwz016","article-title":"Patient experiences with colonoscopy: a qualitative study","volume":"3","author":"Restall","year":"2020","journal-title":"J Can Assoc Gastroenterol"},{"key":"2026080416361749700_gwag017-B16","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1093\/bmb\/ldab010","article-title":"Psychological factors associated with inflammatory bowel disease","volume":"138","author":"Eugenicos","year":"2021","journal-title":"Br Med Bull"},{"key":"2026080416361749700_gwag017-B17","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1111\/codi.14905","article-title":"Surgery, stomas, and anxiety and depression in inflammatory bowel disease: a retrospective cohort analysis of privately insured patients","volume":"22","author":"Sceats","year":"2020","journal-title":"Colorectal Dis"},{"key":"2026080416361749700_gwag017-B18","doi-asserted-by":"publisher","first-page":"1688","DOI":"10.3390\/ejihpe14060111","article-title":"A patient-centered approach to communication during endoscopic procedures: the importance of providing information to patients","volume":"14","author":"Bashkin","year":"2024","journal-title":"Eur J Investig Health Psychol Educ"},{"key":"2026080416361749700_gwag017-B19","doi-asserted-by":"publisher","first-page":"otad012","DOI":"10.1093\/crocol\/otad012","article-title":"Crohn\u2019s disease patient experiences and preferences with disease monitoring: an international qualitative study","volume":"5","author":"Rohatinsky","year":"2023","journal-title":"Crohns Colitis 360"},{"key":"2026080416361749700_gwag017-B20","first-page":"785","article-title":"Behavioral functioning and treatment adherence in pediatric inflammatory bowel disease: review and recommendations for \u00adpractice","volume":"4","author":"Hommel","year":"2008","journal-title":"Gastroenterol Hepatol (N Y)"}],"container-title":["Journal of the Canadian Association of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jcag\/article-pdf\/9\/4\/258\/68387875\/gwag017.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcag\/article-pdf\/9\/4\/258\/68387875\/gwag017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:36:36Z","timestamp":1785875796000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jcag\/article\/9\/4\/258\/8693066"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,25]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,5,25]]},"published-print":{"date-parts":[[2026,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jcag\/gwag017","relation":{},"ISSN":["2515-2084","2515-2092"],"issn-type":[{"value":"2515-2084","type":"print"},{"value":"2515-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,5,25]]}}}