Objective: This prospective study looked into the usefulness of the hyperosmolar water-soluble contrast agent Urografin® in determining which patients should receive conservative treatment for small-intestinal obstruction brought on by post-operative adhesions. Methods: The nasogastric tube was used to administer Urografin® to 37 individuals who had adherent intestinal blockage. After 2, 4 and 8 hours, direct abdominal radiographs were taken. Results: 24 individuals (64.9%) were deemed to have partial obstruction because Urografin® was found in the right colon within 8 hours in those patients. These patients started eating by mouth even though abdomen radiographs showed levels of gas and fluid