Abdominal radiography position in the algorithmic approach for the work up of small bowel obstruction

Where in the algorithmic approach for the work up of small bowel obstruction does abdominal radiography lie? 

Abdominal radiography is the preferred initial radiologic examination for patients with suspected small bowel obstruction, primarily because of its widespread availability and low cost. However, it is only diagnostic in 50% to 60% of cases ( Figure 66-2 ) so if clinical suspicion for obstruction is high, abdominal CT should be considered the most definitive test.

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