Rabota posvyashchena ostroy tonkokishechnoy neprokhodimosti, aktual'nost' kotoroy ostaetsya chrezvychaynoy. Dannaya patologiya kharakterizuetsya groznymi oslozhneniyami, vysokoy letal'nost'yu. Osnovnoy prichinoy tonkokishechnoy neprokhodimosti yavlyayutsya spayki bryushnoy polosti, voznikayushchie posle khirurgicheskikh operatsiy, travm, ostrykh i khronicheskikh abdominal'nykh zabolevaniy. V svyazi s etim neobkhodimo pomnit' o profilaktike spaechnoy bolezni: berezhnoe obrashchenie s organami, rannyaya aktivizatsiya bol'nykh posle operatsii, stimulyatsiya motoriki kishechnika. Neredko khirurgi stalkivayutsya s trudnostyami v diagnostike. Predlozhennyy avtorami lechebno-diagnosticheskiy algoritm pozvolyaet differentsirovanno podoyti k kazhdomu bol'nomu, izbezhat' naprasnykh operatsiy. Neobosnovannye operativnye vmeshatel'stv, kak pravilo, vedut k neblagopriyatnym rezul'tatam. Nazointestinal'naya intubatsiya kak metod dekompressii kishechnika yavlyaetsya na segodnyashniy den' metodom vybora. Rezul'tatom raboty yavilos' uluchshenie rezul'tatov khirurgicheskogo lecheniya bol'nykh s ostroy tonkokishechnoy neprokhodimost'yu v konkretnom statsionare. Dannyy algoritm vnedren v praktiku khirurgami raznykh bol'nits Respubliki Sakha (Yakutiya).