Hi all, I was wondering if anyone has any experience with calprotectin levels post-surgery. I know this test isn't used super frequently but my GI likes it as a non-invasive way of keeping tabs on inflammation. During my worst flare in the hospital my calprotectin went up to 990, on high dose prednisone/Remicade/mtx it went down to about 350, which was my last measurement pre-surgery.
I've been doing GREAT since takedown, stable at 5-6 BMs per day now, so I was expecting my measurement to be pretty low, it came out to be 216. Although this is an "all time low" for me (since it was never tested before I was in a flare) it still seems pretty high. I've seen a few studies that looked at calprotectin in j-pouchers and they suggested using 92.5 or 182 as predictive cut-offs for pouchitis.
Has anyone else kept track of their calprotectin post-op? I'm wondering if perhaps it is just going to come down over time post-surgery? On the other hand, it doesn't make sense to me because I don't have small bowel involvement (to my knowledge...) and I can't imagine I have pouchitis with absolutely no symptoms.
Obviously I will talk to my GI about this but I'm curious to hear if others have input.