<prompt> What is the treatment of choice in postoperative adhesive intestinal obstruction?Immediate surgerySurgery after one weekSurgery should be avoided in the initial 72 hoursNone of the above  <response>: The leading cause of SBO in industrialized countries is postoperative adhesions 60, followed by malignancy, Crohns disease, and hernias. The most common cause of small-bowel obstruction SBO is postsurgical adhesions. Postoperative adhesions can be the cause of acute obstruction within 4 weeks of surgery or of chronic obstruction decades later. Prevention of SBO may be essentially limited to decreasing the risk of adhesion formation by decreasing the number of intra-abdominal procedures ie, laparotomies and resultant scar formation. 