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Furthermore, in the absence of ileus or significant abdominal distention, oral or enteral feeding should be continued. (Conditional recommendation, low-quality evidence). Diarrhea results in significant volume depletion and electrolyte abnormalities that must be corrected. One can consider pharmacological venous thromboembolism prophylaxis as these patients are at increased risk as are patients with active ulcerative colitis (60).
Abdominal and pelvic CT scans can be used as an adjunct to determine the severity and extent of disease and can detect colon wall thickening, ascites, megacolon, ileus, or perforation (41,65,66,67).