To and Fro Peristalsis in Small Bowel Obstruction (SBO) on POCUS SBO POCUS - dilated small bowel loops > 2.5cm, dilated fluid-filled stomach, to-and-fro or whirling motion of the bowel contents. Look out for ischemia/infarction; may include wall thickening > 4mm, extraluminal free fluid between bowel loops, or aperistalsis. Eric Abrams, MD @eabramsMD #Peristalsis #SmallBowel #Obstruction #SBO #Abdominal #Ultrasound #clinical #POCUS