There has been a raising concern about frailty in elderly patients with esophageal cancer, and effective management of frailty may improve clinical outcomes of patients. This paper reviewed the studies about screening, assessment, and management strategies for frailty in elderly patients with esophageal cancer, as well as early identification of frailty using appropriate tools, in order to facilitate the development of screening and assessment tools and individualized management plans for esophageal cancer patients in China. (老年食管癌患者衰弱状况堪忧, 及时有效的衰弱管理能有效改善患者的临床结局。本文综述食管癌患者衰弱的筛查、评估及管理策略, 以及使用合适的工具尽早识别衰弱, 以期为构建适合我国食管癌患者衰弱筛查评估工具及个体化管理方案提供参考。)