ABSTRACT
Background: Aim-In recent times there has been an increase in the incidence of obstructive jaundice, especially due to malignant cases. The aim was to diagnose compare the surgical procedures to palliative procedures. Methods: This study was carried out on 125 patients at S.C.B Medical College, Cuttack, Odisha. The diagnosis of mechanical obstruction to the biliary tree is difficult at times as the clinical features and biochemical investigation results may be atypical. Results: Non operative management with endoscopic stenting and interventional radiological procedures (PTBD) was a choice in certain group of patients. Conclusion: Majority of the tumors are in the head of the pancreas (56.8%). The maximum age incidence of malignant obstructive jaundice is between 51 years and 60 years (28.8%). Moderately differentiated adenocarcinoma is the histology in 41.7% of the cases, poorly differentiated adenocarcinoma in 41.7% of the cases and well differentiated in 16.7% of the cases.