الفهرس 
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Abstract
Our study was conducted on patients who have been diagnosed to have adhesive intestinal obstruction after their present to Suez Canal University hospital.
Diagnosis of adhesive intestinal obstruction was based on clinical, laboratory& radiological diagnosis.
Our study population included 64 patients who managed conservatively in inpatient ward by “nothing per mouth , naso gastric tube ,I.V fluids & urinary catheter” for 2-5 days.
In case of failure of conservation after 5th day surgical intervention was done.
Cases that were developed signs of strangulation or deterioration surgical intervention was been done immediately.
After statistical analysis of the data it was found that 62,5% of cases managed conservatively and we can predict surgical intervention as initial management in patients with:
• severe abdominal pain& diffuse +ve diffuse rebound tenderness at time of presentation.
• Elevated leucocytic count at time of presentation.
• fever >39 c. at time of presentation.
• Ryle content & amount (at time of insertion): feculent and/or 1000 ml.
• History of complications in previous operation(intra abdominal sepsis, collection, fistula, burst abdomen or anastmotic disruption).
• The previous operation done in emergency theater.
• The previous operation was abdominal exploration due to perotinitis or complicated appendectomy.