Background & Aim: Recently there has been an increase in the incidence of obstructive jaundice due to malignant causes. Our aim was to diagnose and compare the surgical procedures to palliative procedures. Methods: This study was conducted on 250 patients at S.C.B Medical College & hospital, Cuttack, Odisha. The diagnosis of mechanical obstruction to the biliary tree is often difficult as the clinical features and biochemical investigation results may vary. Results: Non operative management with endoscopic stenting and interventional radiological procedures (PTBD) was 1st choice in certain group of patients. Conclusion: Most common site of the tumors are in the head of the pancreas (56.8%). The maximum incidence of malignant obstructive jaundice is between age 51 years and 60 years (28.8%).
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