[Complex diagnostics and surgical treatment of acute small bowel adhesive obstruction].

Results of the complex diagnosis and surgical treatment of 85 patients with acute commissural obstruction of the small bowel have shown that at the present-day stage of the early diagnosis of this disease the method of USI in combination with using metallic "contrast marks" (carried out in 14 patients) holds the leading place. U-shape anastomoses were preferred when making entero-enteral anastomoses and ileoascendoanastomoses which considerably decreased the frequency of incompetent sutures. The developed method of antegrade intubation of the digestive tract was used for correction of syndrome of enteral insufficiency in 46 patients that resulted in a quicker restoration of the small bowel functioning (4-5 days) and correction of the enteral insufficiency syndrome (5-6 days).