The management of acute adhesive small bowel obstruction remains challenging for the digestive surgeon. The Bologna guidelines recommend that conservative management of aSBO. The literature reports that this form of management has a failure rate between 10 and 40%.

A radiological score has been proposed and was associated with an increased risk of failure of conservative management.

This tool is promising to select patients further requiring surgery but it has to be assessed in a multi centric prospective cohort.

Inclusion Criteria:

• all the consecutive patients admitted for initial non-surgical management for aSBO
• during the period of inclusion

Exclusion Criteria:

• the cause of SBO was functional or other than adhesive
• patients requiring initial surgical management.
• absence of computed tomography performed at admission

This was an observational multicentric cohort study including all the consecutive patients admitted for initial non-surgical management for aSBO. The study took place over a period of 3 months (September 15 - December 15, 2021) in 15 French centers.