Objective:To evaluate the recent and proposed effects of tunnel pericardial devascularization in portal hypertension patients especially with upper gastrointestinal bleeding. Methods:The clinical data of 307 cases of portal hypertension admitted from September 1995 to December 2005 in the 2nd Affiliated Hospital of Xi’an Jiaotong University were analyzed retrospectively.All the cases were performed tunnel pericardial devascularization.The recent and proposed effects were observed during the followup period. Results:Two hundreds and eleven cases (211/216,97.69%) of upper gastrointestinal bleeding were controlled.The perioperative mortality rate was 4.23%.The main causes of death included upper gastrointestinal bleeding,intraabdominal hemorrhage,hepatic failure and hepatorenal syndrome.Early complications occurred in 63 cases (20.63%).Two hundreds and fortyeight cases were followed up.The mean followup peroid was （50±6）months.There were 6 cases (3.41%) of recurrent upper gastrointestinal bleeding in following 5 years and 21 cases (11.93%) in 10 years. Conclusion:Tunnel pericardial devascularization is effective in the treatment of upper gastrointestinal bleeding for portal hypertension patients. There is few early or proposal serious complication occurrence.