Abstract: Objective To evaluate the clinical effect of selective pericardial devascularization on gastroesophageal variceal bleeding.Methods A retrospective analysis was made on 62 cases of gastroesophageal variceal bleeding due to portal hypertension who were treated with selective pericardial devascularization.Outcome indicators included postoperative complication rate, mortality rate, recurrent bleeding, hepatic encephalopathy, and prognosis.Results All cases obtained complete hemostasis with no perioperative death.Postoperative complications included portal vein thrombosis (3.6%, 2/62), pleural effussion (7.7%, 5/62), and subcutaneous fat necrosis and liquefaction (1.6%,1/62); recurrent hemorrhage also happened (8.1%, 5/62).All patients were recovered after conservative treatment, and no hepatic encephalopathy occurred during the perioperative period.Conclusion Selective pericardial devascularization achieves complete devascularization while retaining spontaneous portal shunt, which is more scientific and reasonable in the treatment of gastroesophageal variceal bleeding than traditional pericardial devascularization.

Key words: Portal hypertension, Gastroesophageal variceal bleeding, Selective pericardial devascularization