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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 managementdoi:10.21276/aimdr.2018.4.1.sg6 fatcat:axb4woyuibapfhfsf7rls7qjrm