Nine cases of gastric perforation after operation for esophageal were reported. Eight cases were esophageal cancer. One case was cardial cancer. Five of the nine cases were anastomosed in intrathorax, and four in neck. Intrathoracic gastric perforation occurred in six cases. Five of them were operated on again. Gastric perforation in neck occurred in three cases. The nine cases were all cured. This article analysed the reasons of the gastric perforation and emphasised that early diagnosis, early operation or drainage in neck were the key steps in treatment.