Miroslav Tomáš, Ramadan Aziri, Jozef Dolník, Robert Duchoň, Peter Záhorec, Jana Pavlendová, Miroslav Jurík, Dominika Rusnáková, Kemal Elezi, Peter Dubovan, Juraj Pechan, Daniel Pinďák
Bowel obstruction - BO - creates worldwide aetiologically ~ 15% of hospitalizations due to the acute abdomen (AA) and ~ 20% of cases subsequently require acute surgical care(1). It occurs in three basic forms: mechanic, paralytic and venous. The most frequent reasons for the subileac and ileac condition are intrabdominal adhesions, malignity and hernia. Small bowel obstruction – SBO - occurs more frequently than large bowel obstruction LBO and presents the most frequent indication for the operation of the small bowel. In recent years we have not noticed significant changes in the anatomical location of the intestinal obstruction, but the spectrum of patients changes with the dominance of the geriatric age with serious comorbidity(2). The management is demanding as the risk of comorbidity grows with the age of patients. Precise and early diagnosis, clear clinical management based on the recommendations and modern surgical treatment including mini invasive approach is a base for the therapeutical approach in the clinical practice.