Objective To explore the safety and feasibility of improved jejunostomy in operation for patients with esophageal carcinoma.Methods All these 214 patients underwent resections of esophageal carcinoma and jejunostomy were divided into 2 groups,130 patients in routine group and 84 patients in improved group.A 1.5 to 2.0 centimeter in width pedicled omentum were left during dissociating the stomach for patients of improved group.Double purse-string suture were left on the prepared jejunostomy.Pedicled omentum was placed around jejunum tube which was fixed by double suture to peritoneum.Then the operating time,discharging time,leakage,infections,tube shedding and intestinal obstruction were analysed.Results All patients in both groups were healed.There's a statistically significant difference(P<0.05)in operating time and intestinal obstruction between the improved group and the routine group.There isn't a statistically difference(P>0.05)in discharging time,leakage,infections and tube shedding.Conclusion Improved jejunostomy can reduce the operating time,and it's a safe and feasible way in jejunum tube placement.