Objective:To summarize long-term effects of surgical treatment with double devascularization on portal hypertension complicated with  upper gastrointestinal bleeding (UGIB).
Methods:A total of 367 patients with UGIB due to portal hypertension underwent double devascularization from1989 to 2008, and were followed up for 1 to 19 years (average 16 years). Three hundred and nine cases underwent elective surgery and 58 cases underwent emergency surgery.
Results:Bleeding was controlled in all 58(100%) cases after emergency operation. The average portal pressure reduction was 4.3 cm H2O. Follow-up at 6-19 years showed rebleeding in 8 cases(2.5%).The survival rate at 1-5, 6-10 and 11-19 years was 83.05%, 91.85% and 92.80%  respectively.
Conclusions:Double devascularization is a safe and effective treatment for portal hypertension complicated with UGIB becauce it has high, emostasis rate, fewer complications, low rebleeding rate and high long-term survival.