CURRENT TREATMENT OPTIONS OF ADHESIVE SMALL BOWEL OBSTRUCTION (LITERATURE REVIEW)

Adhesive Small Bowel Obstruction (ASBO) is a common intestinal blockage caused by postoperative adhesions. Initial management typically involves conservative measures such as bowel rest, fluids, and Gastrografin®, which succeed in over 70% of stable patients. Surgery is reserved for complications like ischemia or failed conservative treatment, with laparoscopic techniques offering improved outcomes and shorter hospital stays. Preventive strategies, including meticulous surgical methods and anti-adhesive materials, are crucial in reducing recurrence. Emerging therapies, such as gene therapy, show promise but require further research. Effective ASBO management combines tailored conservative care, timely surgery, and robust prevention, with a focus on advancing diagnostics and treatment protocols.