Postoperative choking after esophageal cancer surgery is considered to be related to esophageal perforation, gastroesophageal reflux, recurrence or metastasis, etc. Patients can follow the doctor’s instruction to use medication, surgical treatment, and also feasible enteral and parenteral nutrition. 1. Esophageal perforation: For clear esophageal perforation leading to choking, the breach should be repaired in time, the source of contamination should be removed, and antibiotics such as metronidazole and penicillin should be applied to control the infection according to the doctor’s prescription. For the old choking phenomenon, intravenous nutrition can be given to improve the nutritional status and promote healing. In addition to the above measures, patients can also be feasible esophageal perforation repair, esophageal open surgery and other surgical treatment. 2. Gastroesophageal reflux: patients can follow the doctor’s instructions to apply ranitidine, famotidine, omeprazole and other drugs to inhibit gastric acid secretion, domperidone, mosapride and other drugs to promote gastric dynamics, thioglycollate, magnesium aluminum carbonate and other mucous membrane protective agents. When combined with esophageal hiatal hernia, resulting in recurrent symptoms, surgical treatment such as laparoscopic fundoplication can be taken. 3. Recurrence or metastasis: If esophageal cancer recurs or metastasis occurs after surgery, it can also lead to choking in some patients. According to their own conditions, patients can cooperate with doctors to choose surgery, radiotherapy, targeted therapy, etc. to control the progress of the disease and alleviate the uncomfortable symptoms. It is recommended that patients who choke on food after esophageal cancer surgery should consult doctors for examination so as to clarify the cause of the disease and then follow the doctor’s instruction for treatment.