Roughness and elevation of the esophageal mucosa are generally not serious, and sub-mucosal lesions and extra-esophageal lesions may be considered. 1. Esophageal submucosal lesions: esophageal submucosal lesions refer to esophageal lipoma, hemangioma, cyst, etc. According to the results of gastroscopy, we need to carry out esophageal submucosal mass stripping surgery and biopsy of pathological tissues in order to determine which kind of tumors mentioned above, which are generally benign tumors and not serious. 2. Extra-esophageal lesions: extra-esophageal lesions such as mediastinal lymph node enlargement mediastinum, tumors and so on can also lead to esophageal external pressure changes, at this time it is also necessary to combine with the results of chest CT to determine whether there is a tumor, to make clear whether there is a metastatic tumor; the situation is often malignant tumors, which may be more serious. If submucosal elevation of esophagus is found, it is recommended to consult the gastroenterology department of regular hospital for judgment.