Gastric mucosal ectasia in the esophagus generally does not require surgical treatment, but if the condition is serious, surgical treatment can be chosen if necessary. Esophagogastric mucosal ectasia refers to the appearance of gastric mucosa in the esophagus, ectopic tissue growth in various locations of the esophagus, close to the pharyngeal part of the majority of rare congenital embryonic residual lesions, occurring in the lower end of the esophagus is mostly diagnosed as Barrett’s esophagus. When the gastric mucosa in the esophagus secretes gastric acid, it can lead to pharyngeal discomfort, retrosternal pain, foreign body sensation when swallowing, etc., which can seriously lead to esophageal ulcers, bleeding and other symptoms. However, in general, the treatment of esophagogastric mucosal ectasia is aimed at relieving symptoms and preventing complications, and medication can play a very good role, without the need for surgical treatment. If the complications of esophagogastric mucosal ectasia are serious, such as esophageal stenosis or heterogeneous hyperplasia of gastric mucosal tissues, endoscopic dissection can be chosen for treatment, and if endoscopic treatment is ineffective, surgical treatment can be chosen. It is recommended to follow the advice of specialized physicians in the above cases.