Objective: To investigate the effect of endoscopic treatment on advanced esophageal and gastric carcinoma.

Methods: Twenty advanced gastric cancer patients and 25 advanced esophageal cancer patients, who had recurrence after operation and radiotherapy were managed by endoscopic treatment.

Results: 10 cases were treated to stop bleeding only, 35 cases were treated by microwave, dilation and local chemotherapy. The successful rate of hemostasis was about 67%, the remission rate of digestive obstruction was about 100% after dilation, 83% of the recurrence lesions were relieved by endoscopic chemotherapy.

Conclusion: Endoscope treatment has certain therapeutic efficiency for the recurrence of advanced esophageal and gastric cancer.