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Transition of the Patient with IBD from Pediatric toAdult Care—An Assessment of Current Evidence

de Silva, Punyanganie S. A. MBBS, MRCP*,‡; Fishman, Laurie N. MD†,‡

doi: 10.1097/MIB.0000000000000045
Clinical Review Articles

Abstract: Inflammatory bowel disease is a chronic disease of remitting and relapsing nature that is increasingly diagnosed in childhood or adolescence. The importance of the transition from pediatric to adult health care is increasingly recognized, yet the preparation of patient and family before transfer and early subsequent care in the adult health care environment can be variable and challenging. Pediatric providers need to start early and prepare patients in a stepwise fashion. However, patients may not have mastered all the steps before transfer or may regress to earlier behaviors during stress. Thus, adult providers will need to understand how to maintain and finish the transition process. This is an updated literature review of the transition process in inflammatory bowel disease, which focuses on the practical ways that both pediatric and adult health care providers can optimize care.

Article first published online 19 May 2014.

*Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts;

Division of Pediatric Gastroenterology, Boston Children's Hospital, Boston, Massachusetts; and

Harvard Medical School, Boston, Massachusetts.

Reprints: Punyanganie S. A. de Silva, MBBS, MRCP, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115 (e-mail:

The authors have no conflicts of interest to disclose.

Received February 27, 2014

Accepted March 13, 2014

© Crohn's & Colitis Foundation of America, Inc.
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