Esophagitis in the elderly is more common in clinical practice because many elderly people have a combination of chronic diseases, such as hypertension, coronary heart disease, diabetes, etc. These diseases require the use of some drugs, such as common calcium antagonists, and some of these drugs can affect the pressure in the lower esophagus, causing a drop in pressure and symptoms of reflux, most commonly heartburn and acid reflux. Treatment of esophagitis in the elderly includes general treatment, which is lifestyle improvement, and dietary treatment, which requires attention to eating a light diet, not eating greasy foods, not drinking alcohol, and not smoking. The main thing you need to pay attention to is not to wear tight underwear, not to lie down or lie flat within half an hour after meals, and not to do strenuous weight-bearing movements, and not to do strenuous activities and exercises, which is the improvement of lifestyle and diet. There are also medications, which mainly include protecting the mucous membrane of the esophagus and stomach and suppressing stomach acid, and if necessary, adding some drugs to promote power. In case of stubborn GERD, if regular medical treatment does not work well, surgical treatment can be considered, more commonly laparoscopic fundoplication, endoscopic surgery and anti-reflux surgery under gastroscopy may also be effective. Some elderly people with esophageal hiatal hernia may also consider surgery if repeated medical treatment is ineffective.