 This study examined the effectiveness of intubating the small intestine during surgery for acute strangulated intestinal obstruction, ASIO. The researchers found that intubation significantly decreased endotoxin levels, intraabdominal pressure, and lactic acid levels, while reducing the incidence of enteroenteric anesthetic insufficiency. Additionally, four patients developed postoperative infections, two of whom had sub-hypatic abscesses and one who had enteroenteric anesthetic insufficiency. Two elderly patients died from peritonitis and acute myocardial infarction. Overall, this study suggests that intubating the small intestine during surgery for ASIO can be beneficial in terms of reducing endotoxin levels, intraabdominal pressure, and lactic acid levels, while preventing the risk of enteroenteric anesthetic insufficiency. This article was authored by K. M. Kurbenov, K. R. Nazerbolev, and N. M. Daminova.