To determine the perception of children with inflammatory bowel disease (IBD) regarding monitoring tests, we first compared the reported discomfort and patient perspective during gastro-intestinal (GI)-endoscopy, magnetic resonance entrography (MRE), and ultrasound (US) and, in a second comparison, patient preference on non-invasive tests (venipuncture, sampling stool and US). A cross-sectional study in children 8–18 years undergoing an US, MRE, and GI-endoscopy for diagnosis or follow-up of IBD. After each procedure, the children filled out the Discomfort during research procedures questionnaire (DISCO-RC). Items of the DISCO-RC are as follows: nervousness, annoyance, pain, fright, boredom, and tiredness. Answers range from “not” (= 0 points) to “extremely” (= 4 points) (range total score: 0–24). Differences between the procedures were assessed with Friedman test, with subsequent Wilcoxon signed-rank test. The children were also asked which non-invasive test they preferred not to undergo regularly (venipuncture, stool-sampling, or US). Answers were analyzed with χ²-test. Forty-nine patients (27 (55%) female, median age 15 (range 9–17)) were included. The children reported to be most nervous, frightened, and tired after GI-endoscopy (median: 1, 1, 2 points, respectively), equally annoyed by MRE and GI-endoscopy (median 1 point), and equally bored by MRE and US. GI-endoscopy was ranked as most discomfortable, followed by MRE and US (total DISCO-RC scores: 7 vs. 5 vs. 2, p < 0.001). Most of the children preferred not to sample stool or perform venipuncture regularly (n = 20 (41%, both) (p < 0.001)).

Conclusion: Our results suggest that the children with IBD report low discomfort after US, MRE, and GI-endoscopy. US is preferred as a monitoring tool, also among non-invasive monitoring tests. GI-endoscopy was most discomfortable.

为了确定炎症性肠病 (IBD) 儿童对监测测试的看法，我们首先比较了胃肠道 (GI) 内窥镜检查、磁共振内窥镜 (MRE) 和超声 (US) 期间报告的不适和患者观点，并且，在第二个比较中，患者对非侵入性测试（静脉穿刺、粪便取样和超声）的偏好。一项针对 8-18 岁儿童接受 US、MRE 和 GI 内窥镜检查诊断或随访 IBD 的横断面研究。在每个程序之后，孩子们填写了研究程序期间的不适问卷 (DISCO-RC)。DISCO-RC 的项目如下：紧张、烦恼、疼痛、恐惧、无聊和疲倦。答案范围从“不”（= 0 分）到“非常”（= 4 分）（范围总分：0-24）。使用弗里德曼检验评估程序之间的差异，随后进行威尔科克森符号秩检验。孩子们还被问及他们更愿意不定期接受哪种非侵入性检查（静脉穿刺、粪便取样或美国）。答案被分析了χ ² -检验。包括 49 名患者（27 名（55%）女性，中位年龄 15 岁（范围 9-17 岁））。GI 内窥镜检查后儿童报告最紧张、害怕和疲倦（中位数分别为 1、1、2 分），MRE 和 GI 内窥镜检查同样烦躁（中位数 1 分），MRE 和 US 同样无聊. 胃肠道内窥镜检查被列为最不适，其次是 MRE 和 US（总 DISCO-RC 评分：7 vs. 5 vs. 2，p  < 0.001）。大多数儿童不喜欢定期采样粪便或进行静脉穿刺（n  = 20（41%，两者）（p  < 0.001））。

结论：我们的结果表明，IBD 儿童在 US、MRE 和 GI 内窥镜检查后报告的不适感较低。US 是首选的监测工具，在非侵入性监测测试中也是如此。胃肠道内窥镜检查是最不舒服的。