Abstract: 23 cases advanced esophageal cancer patients with esophageal obstruction,among them,7 cases with metastasis could not be operated,16 cases were recurred after operation and radiotherapy.22 cases was dilated at first,one of 2 cases with treachoesophageal fistula was taken radioth-erapy,the other was taken chemotherapy with csophageal stent,in the 7 cases who could not be operated,5 cases without fistula were taken rad-iotherapy after gigestive obstruction was relieved by putting in esophageal stent.16 recurred cases were dilated and taken microwave,local chemotherapy as well as homeostasis therapy.The successful rate of homeostasis was above 67%,the digestive obstruction was about 100% after dilation,the esophageal cancer was relieved about 90% PR by Endoscopic local chemotherappy.