Keypoints:
- Surgery along with antimicrobials were found to be effective in all
cases of refractory SBO
- Faster relief of symptoms and lesser duration of antimicrobials and
hospital stay was seen in the surgical group
- Culture yield was better for the surgical group
- Surgical intervention did not aggravate the existing clinical scenario
- Surgery may be considered in patients when they are unresponsive after
4 weeks of IV antibiotics.