Afzali A, Wahbeh G. Transition of pediatric to adult care in inflammatory bowel disease: Is it as easy as 1, 2, 3? World J Gastroenterol 2017; 23(20): 3624-3631 [PMID: 28611515 DOI: 10.3748/wjg.v23.i20.3624]
Corresponding Author of This Article
Anita Afzali, MD, MPH, Division of Gastroenterology, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Box 359773, Seattle, Washington, WA 98104, United States. anitaa@medicine.washington.edu
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 28, 2017; 23(20): 3624-3631 Published online May 28, 2017. doi: 10.3748/wjg.v23.i20.3624
Transition of pediatric to adult care in inflammatory bowel disease: Is it as easy as 1, 2, 3?
Anita Afzali, Ghassan Wahbeh
Anita Afzali, Division of Gastroenterology, University of Washington, Harborview Medical Center, Seattle, Washington, WA 98104, United States
Ghassan Wahbeh, Division of Gastroenterology, Seattle Children’s Hospital, University of Washington, Seattle, Washington, WA 98105, United States
Author contributions: Afzali A performed the research and wrote the paper; Wahbeh G contributed critical revision of the manuscript for important intellectual content.
Conflict-of-interest statement: The authors declare that there are no conflicts of interests regarding the publication of this paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Anita Afzali, MD, MPH, Division of Gastroenterology, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Box 359773, Seattle, Washington, WA 98104, United States. anitaa@medicine.washington.edu
Telephone: +1-206-7447055 Fax: +1-206-7448698
Received: January 24, 2017 Peer-review started: February 1, 2017 First decision: March 19, 2017 Revised: April 8, 2017 Accepted: May 4, 2017 Article in press: May 4, 2017 Published online: May 28, 2017
Core Tip
Core tip: The process of transition of a young adult with inflammatory bowel disease (IBD) to adult care should be well coordinated and incorporate all key players to ensure proper collaboration and avoid interruption in care. An early, regular assessment of the adolescent readiness for transition is important. The adolescent patient should be seen without the parent or caregivers in order to build self-reliance. Pediatric gastroenterologists need to discuss and introduce the concept of transition with the patient and family early and identify adult gastroenterologists with unique interests in young adults with IBD. The adult gastroenterologist should be prepared for the transition with advanced communication with the referring pediatric team, consider further training in adolescent health, and review health priorities and targets of care early with the young adult.
