1. St. Mary’s Omar M. Rashid 2/20/2012 – 2/26/2012

2. INTERESTING CASE 72yr female h/o open chole, hysterectomy admitted for nausea, vomiting x 4 days, found to have partial SBO, underwent NG tube decompression and resuscitation. Pt underwent diagnostic laparoscopy, coverted to open laparotomy, found to have closed loop obstruction with two transition points, extensive lysis of adhesions and closure.

3. -Only data from retrospective trials -“seems feasible and better in terms of hospital stay and mortality reduction” -But patient selection and when conversion is necessary remain unproven

6. CONCLUSIONS Diagnostic laparoscopy for SBO should be approached with caution with a critical evaluation for patient selection and a low threshold for conversion to open laparotomy