Neutrophil to Lymphocyte Ratio Predicts Bowel Ischemia in Non-Strangulated Adhesive Small Bowel Occlusions

Neutrophil to lymphocyte ratio (NLR) > 6.8 was identified as the sole independent predictive factor for bowel ischemia in non-strangulated adhesive small bowel obstruction, with 78% sensitivity and 65% specificity. This study highlights the importance of NLR as a straightforward and reproducible parameter in predicting bowel ischemia onset, aiding acute care surgeons in early detection and management in cases of conservative treatment failure.