P265 Factors affecting patient perception and acceptance of colonoscopy in patients with inflammatory bowel disease

Abstract

Abstract Background Inflammatory bowel disease (IBD) is characterized by chronic idiopathic inflammation of the gut. Colonoscopy is the mainstay procedure for managing and monitoring IBD patients. However, many patients with IBD do not comply with routine or surveillance colonoscopies, and the underlying reasons have not been determined for Asian patients with IBD. Therefore, this study analyzed IBD patients' perceptions of bowel preparation and colonoscopy procedures and attitudes toward examination intervals, using a questionnaire. Methods This cross-sectional study included 94 patients with IBD (41 with Crohn’s disease and 53 with ulcerative colitis) presenting at one medical center between July 2020 and May 2022. The patients’ perceptions of the four components associated with the colonoscopy procedure (embarrassment, pain, use of bowel-cleansing agents, and stress) were assessed via a questionnaire. Patients were asked to indicate the frequency at which they had scheduled a colonoscopy and the frequency at which they desired to undergo the procedure. Results “Bowel cleansing” and “pain” were most uncomfortable during the colonoscopy procedure. Younger age and younger age at diagnosis were associated with a greater burden of bowel preparation and painful sensations. Regarding examination intervals, male patients were more compliant with colonoscopies within shorter timeframes than female patients. Additionally, younger patients and those diagnosed at an earlier age tended to prefer longer examination intervals. Conclusion This study provides insights into the perception of colonoscopy in Taiwanese patients with IBD. Our findings would promote the adherence to colonoscopy and facilitate early detection of major complications in high-risk and long-term IBD patients.