Abstract: Aim: to review the surgical experience in treatment of aged carcinoma of esophagus and carcinoma of cardia. Clinical material and method: there were twelve aged patients who all as sociated multiple systems abnormal including respiratory system, cardiovascular system and malnutrition. 10 patients underwent tumour excision ( radical cure and conservat ive cure) , and 2 patients underwent ascertainment. Result: there were no operative deaths. The operation excision rate is 83.33% , and 3 partients had postoperative complications. Conclusion: senility is not the contraindication of operation. To aged patients, the treatment in perioperative is important and the disease of respiratory system and malnutrition should be improved before operation.And efficient management to airway and sustaining nutrition can reduce the postoperative compoications. So the postoperative evaluation to aged carcinoma of esophagus and carcinoma of cardia patients,we not only think much of the survival rate, but also the survival quality.

Key words: carcinoma of esophagus, carcinoma of cardia, senility, surgical treatment