Objective To investigate the application value of adhesiolysis by electronic gastroscopy in diagnosis and treatment of adhesive ileus.Methods 7 cases of adhesive ileus treated with adhesiolysis by electronic gastroscopy instead of laparoscopy were retrospectively analyzed.Results Postoperative abdominal pain disappeared, and there was no recurrence of abdominal pain and abdominal distension during 2～48 months follow-up.Conclusion Transumbilical electronic gastroscopy has considerable advantages in diagnosis and operation of adhesive ileus. It can be used for endoscopic treatment of adhesiolysis at the same time. It has the advantages of safety, economy, accurate curative effect and quick recovery, which is worthy of clinical promotion.