Surgical treatment of portal hypertension:analysis of 129 cases

patients with portal hypertension were treated by operation.there were 78 patients who was carred out with devascularization. and 51 patients were performed by shunt. It was 64.5% as Child A . B in the group of devascularization, 94.1 % as Child A . B in the group of shunt. After devascularization, the recur rent bleeding rate was 10.2% encephalopathy 2. 6%, and the mortality rate was 5.1%. After shunt operation, the rebleeding rate was 11. 7% encephalopathy 4%, the mortality rate was 5. 9%. These results show that active nonoperation treatment is initial procedure for portal hypertension with bleeding esophageal varices. After hemistasis and liver function improveing,the operation can be performed. The effects of devascularization are satisfactory. Devascularization seems to be the first choice procedure for treatment of portal hypertension with bleeding esophageal varices. Devascularization is relative simple and safe and has wider indication, by the way, it can further improve liver function.