Aim: To reffer about first experience with the use of selfexpanding stents (SES) in cases with colon obstruction. Material and methods: Comparative choice analysis of the group of five patients undergoing emergency operation and five patients operated on after SES placement and preoperative preparation. Results: Age of patients and lenght of hospital stay were comparable. Morbidity rate was 40 % in the group with SES comparing 80 % in the emergency group. Mortality rate was 0 in the first group, 20 % in the second. The count of P-POSSUM in the group with SES has shown significant risk decrease after the preoperative preparation. Average costs of the treatment in the SES group were 149 651 Kč, comparing 304 612 Kč in the emergency group. The most expensive treatment in this group cost more than 500 000 Kč. Conclusion: Solution of colonic obstruction by means of SES seems to be advantageous method ot treatment comparing usual therapuetic modality. Assesment of PPOSSUM, morbidity and mortality rate, and at the end, the cost effectivness, as well, speaks for introducing SES as the bridge to elective operation. It is a good mathematical representation of the benefit of this therapeutical modality, as well.

        Key words: emergent stent, obstructed ileus, colon cancer, POSSUM, cost effect.