INTRODUCTION: Gastric outlet obstruction is commonly caused by malignancy and peptic ulcer related cicatrisation. This study is aimed at finding common trends of pathology of GOO and management protocol used for its treatment.

MATERIAL AND METHODS: 50 cases of GOO which were operated in MGM,Medicalcollege,Jamshedpur were included in this study. Their management and follow–up was observed and analysed.

RESULTS: GOO is more common in elderly males. 94% patients present with projectile vomiting while 90% complain of abdominal pain. Gastric antral malignancy was the cause of GOO in 90% of the cases. Common surgeries performed were partial gastrectomy, subtotal gastrectomy, anterior gastrojejunostomy and truncal vagotomy with gastrojejunostomy.

CONCLUSION: Gastric malignancy is the most common cause of GOO. Surgical resection in early stages gives good result.