What laboratory tests are recommended for follow-up in a patient with ischemic collitis?

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From the Research

Laboratory Tests for Follow-up in Ischemic Colitis

The following laboratory tests are recommended for follow-up in a patient with ischemic colitis:

• C-reactive protein (CRP) levels to monitor inflammation 1
• Complete blood count (CBC) to monitor for signs of infection or bleeding
• Electrolyte panel to monitor for electrolyte imbalances
• Liver function tests (LFTs) to monitor for liver damage
• Coagulation studies to monitor for hypercoagulable states, especially in patients with a history of thrombosis or antiphospholipid syndrome 1

Imaging Studies for Follow-up

Imaging studies that may be used for follow-up in patients with ischemic colitis include:

• Computed tomography (CT) scans to monitor for complications such as perforation or abscess formation
• Magnetic resonance imaging (MRI) to monitor for disease progression or recurrence, especially in patients with iodine allergy or renal dysfunction 2
• Endoscopy with histological analysis of biopsies to confirm the diagnosis and monitor for disease progression 3

Other Tests

Other tests that may be used for follow-up in patients with ischemic colitis include:

• Stool tests to monitor for gastrointestinal bleeding or infection
• Blood cultures to monitor for sepsis or bacteremia
• Monitoring of vital signs and abdominal examination to detect signs of complications such as perforation or peritonitis 1, 4