Patient Satisfaction with IBD Undergoing Colonoscopy: A Multicenter Cross-Sectional Study

<b>Background:</b> Colonoscopy is crucial for diagnosing and monitoring inflammatory bowel disease (IBD), assessing disease activity, and detecting dysplasia. However, patient adherence to surveillance remains suboptimal due to discomfort, anxiety, and concerns about bowel preparation. <b>Methods:</b> This multicenter cross-sectional study assessed patient satisfaction with colonoscopy in IBD patients across three Italian centers. Participants completed pre- and post-examination questionnaires, including the Endoscopy Customer Satisfaction Questionnaire (ECSQ) and Perceived Stress Scale (PSS-10). Clinical factors, bowel preparation methods, and healthcare provider expertise were analyzed. <b>Results:</b> Among 444 enrolled patients, overall satisfaction was high (98.8%) but varied across procedural phases. Higher satisfaction was predicted by expert endoscopists (β = 2.11, <i>p</i> = 0.012), disease remission (β = 1.70, <i>p</i> = 0.020), and frequent endoscopic procedures in the last 24 months (β = 0.46, <i>p</i> = 0.041). Conversely, severe disease activity (β = -3.87, <i>p</i> < 0.001) was associated with lower satisfaction. Deep sedation and high-volume bowel preparation negatively impacted satisfaction. <b>Conclusions:</b> Optimizing bowel preparation, enhancing healthcare provider expertise, and implementing stress-reducing strategies could improve patient adherence to surveillance guidelines in IBD care.