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Gastroenterol Res Pract. 2015;2015:853530. doi: 10.1155/2015/853530. Epub 2015 May 04.

Transitioning the Adolescent with IBD from Pediatric to Adult Care: A Review of the Literature.

Gastroenterology research and practice

Natasha Bollegala, Geoffrey C Nguyen

Affiliations

  1. Mount Sinai Hospital, Joseph and Wolf Lebovic Health Complex, 437-600 University Avenue, Toronto, ON, Canada M5G 1X5.

PMID: 26064100 PMCID: PMC4434211 DOI: 10.1155/2015/853530

Abstract

The incidence of inflammatory bowel disease (IBD), comprising Crohn's disease (CD) and ulcerative colitis (UC), has increased in pediatric populations over the last decade. Patients diagnosed during childhood often survive well into adulthood, and therefore their healthcare requires transfer to an adult gastroenterologist, usually at age 18 years. Transition has been defined in the literature as the "purposeful planned movement of adolescents and young adults with chronic conditions from child-centered to adult-oriented health care systems" (Blum et al., 1993). The purpose of this review is to establish the current state of knowledge regarding the transition from pediatric to adult care in IBD. This review highlights that developmentally appropriate transitional care is now recognized as a healthcare priority and thoughtful targeted intervention is needed.

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