[Intestinal obstruction: technical and tactical aspects (author's transl)].

A tactical and technical vista of a differentiated surgical approach to intestinal obstruction is presented based on personal experience and literature: 1. For the treatment of early postoperative intestinal obstruction--of paralytic as well as of primarily mechanical origin--intestinal decompression using the long intestinal tube inserted endoscopically is a worthwhile procedure with a high rate of success.--2. Following operations for intestinal obstruction including cases of peritonitis, decompression gastrostomy using the Stamm-Kader or Dragstedt procedure is an important adjunct to therapy aimed at the reduction of morbidity and lethality within a well defined group of patients.--3. For prophylaxis against recurrence of late adhesive obstruction, gastro-entero-cecal intraluminary splinting combined with temporary gastrostomy can be recommended. Clinical results indicate, that standardized application of these procedures will definitely serve to reduce lethality of intestinal obstruction.