This retrospective study of imaging findings in patients with SBO due to adhesions is mostly valuable because the author's have tried to actually correlate the findings to actual impact on management. It is a moderate sized review of 221 patients with SBO on CT, and review of findings on those studies. The specific features they identify as predictive of successful non-operative management is the presence of fewer than two beak signs and the presence of an anterior parietal adhesion are predictive of successful non-operative management. U shaped or C shaped loops were predictive of non-operative management failure.
PICO Analysis:
Population: patients with SBO on CT
Intervention: non-operative management
Comparison: none
Outcome: successful non-operative management
Reference:
Pubmed Full Text
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