Summary: For patients with partial adhesive small-bowel obstruction, oral therapy with magnesium oxide (two 250-mg tablets), L. acidophilus (one 0.3-g tablet) and simethicone (one 40 mg tablet), in addition to intravenous hydration and nasogastric-tube decompression, may decrease the need for surgery and may markedly reduce the length of hospitalization compared to traditional treatment (strict NPO, plus hydration and nasogastric-tube decompression).

Strength of Recommendation = B