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I've always just used "small bowel," but then noticed most put "small-bowel," I assume to differentiate it as being part of the intestine as opposed to a small, or little bowel. Okay, that makes sense, so I stated hyphenating small-bowel. However, I just got marked off by QA for putting in a hyphen! No matter what you do or don't do, you're screwed! I do believe they just look for ways to antagonize so you'll never feel appreciated.