Choking in the advanced stage of esophageal cancer can be treated by surgery, including placement of esophageal stent and endoscopic dilatation. Esophageal cancer is a malignant tumor occurring in the esophagus, and its cause is complicated, which may be related to factors such as smoking, drinking alcohol and nitrite. Patients with advanced stage of esophageal cancer will have difficulty in swallowing, choking and coughing, etc. They can take surgical treatment, which can be improved by intra-esophageal stenting and endoscopic dilatation. Intraesophageal stenting is to select compatible and corrosion-resistant esophageal stents to be placed in the esophagus, which can follow the peristalsis of the esophagus and help to eat smoothly, thus improving the symptoms of choking and coughing. Endoscopic dilatation can also improve choking and coughing, usually through the use of special instruments to help guide the introduction of guide wires and the placement of dilators, which can help to dilate the narrow GI lumen, thereby relieving choking and coughing. In addition, patients can also choose to stay in gastric tube or through gastrostomy and other ways of treatment to improve the choking symptoms. For patients with choking cough in the advanced stage of esophageal cancer, they need to go to regular hospitals to consult doctors, and choose appropriate treatments under doctors’ guidance, which can help to improve the symptoms of choking cough.