Acceptability of Endoscopic Monitoring in Patients with Inflammatory Bowel Disease: A Cross-Sectional Study from a Tertiary Referral Center

Background: Endoscopic monitoring plays a key role in the management of inflammatory bowel disease (IBD), particularly within treat-to-target strategies aimed at achieving mucosal healing and improving long-term outcomes. However, the invasive nature of colonoscopy and the need for repeated examinations may affect patient adherence to recommended surveillance. Aim: To evaluate the acceptability of endoscopic procedures among patients with inflammatory bowel disease and to identify the main factors influencing patient tolerance. Methods: A descriptive cross-sectional study was conducted in a tertiary referral center including adult patients with confirmed Crohn’s disease or ulcerative colitis who had previously undergone at least one endoscopic examination. Acceptability was assessed using a 10-point numerical rating scale. Clinical characteristics, endoscopic history, and perceived barriers to the procedure were collected using a structured questionnaire. Results: A total of 180 patients were included, with a mean age of 34.2 years and a female predominance (58%). Crohn’s disease accounted for 66.6% of cases, while ulcerative colitis represented 33.4%. Colonoscopy was the most frequently performed procedure. Minor procedure-related complications occurred in 4% of cases, with no major adverse events reported. Overall acceptability of endoscopic monitoring was good, with a mean acceptability score of 7.2 ± 1.8/10. The most frequently reported barriers affecting patient tolerance were bowel preparation (52%), procedural pain (38%), anxiety (33%), and insufficient pre-procedure information (29%). Conclusion: Endoscopic monitoring demonstrated good overall acceptability and an excellent safety profile in this cohort of patients with inflammatory bowel disease. Addressing modifiable barriers such as bowel preparation, procedural discomfort, and patient education may further improve patient experience and adherence to long-term endoscopic surveillance.