BACKGROUND: block in functions and mechanisms of regular journey of fecal matter via the gi tract". The block can be because of conditions inside the seromuscular layer or external to it or in within the hollow space inside. It can be 50% or 100%. The classical consequence is the collection of flatus in the bowel causing inflation of the intestine. The treatment of emergency sbo can be taken based on multiple factors. Even good doctors with experience, labs and diagnostic centres find it difficult to take decision on the basis of treatment of sbo