Plummer-Vinson syndrome(Paterson-Kelly syndrome)is characterized by dysphagia due to upper esophageal or hypopharyngeal web,iron deficiency anemia,and atropic oral and glossal mucosa.This syndrome is usually known as precancerous lesion that develops into postcricoid carcinoma.Universally,the clinical manifestations of this syndrome were markedly improved after oral iron replacement therapy or endoscopic balloon or electrocatery treatment. 63 year-old woman was received a short segment,free jejunal transfer to be released from esophageal stricture.After the operation,the stenotic lesion proved to be Plummer-vinson syndrome with carcinoma in situ by pathologic study.