Esophageal cancer, a malignant tumor that seriously threatens the health of Chinese residents, ranks among the top in the spectrum of digestive tract malignant tumors in China in terms of incidence and mortality. Perioperative nutritional management is an important link in the comprehensive treatment system for esophageal cancer. Many patients with esophageal cancer suffer from malnutrition and nutritional risks, which will significantly increase the incidence of postoperative complications, medical expenses, and directly affect the prognosis and long-term quality of life of patients. Based on the core principles of nutritional support therapy guidelines for digestive tract tumors at home and abroad, the construction of a standardized nutritional intervention pathway needs to be based on the establishment of a safe and effective enteral nutrition pathway. This consensus was jointly formulated by multidisciplinary experts, systematically elaborating the evidence-based selection strategies for enteral nutrition catheterization methods in patients with esophageal cancer during the perioperative period. It innovatively proposes a full-cycle access management solution covering preoperative assessment, intraoperative decision-making, and postoperative maintenance. The aim is to reduce the incidence of catheterization and access-related complications and optimize the therapeutic effect of nutritional support through a systematic operation process, in order to provide practical guidance for improving the prognosis of patients.