This systematic review uncovers non-ischaemic causes of small bowel pneumatosis, suggesting careful management to avoid unnecessary surgeries.
Not all small bowel pneumatosis indicates ischaemia. Conservative management can be effective in carefully selected patients, guided by clinical status and serial imaging. Early recognition of non-ischaemic PI is crucial to avoid unnecessary laparotomy.
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Olusola et al. (2026) studied this question.
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