The invention provides an integrated treatment device and method for low concentration sewage, and relates to a sewage treatment device and method, aiming to solve the technical problem that the existing anaerobic expanded bed reactor has low efficiency for treating nitrogen and phosphorus and easily causes sludge to lose. The device comprises a bamboo-shaped aerobiotic external cylinder, an anaerobic internal cylinder, a three-phase separation cylinder, a bamboo-shaped hollow cylinder, a water distributor, a gas collecting cover, a gas delivery pipe, a mud discharging hopper, a mud discharging pipe, and an S-shaped connecting pipe, wherein the anaerobic internal cylinder is arranged in the bamboo-shaped aerobiotic external cylinder, and the bottom of the three-phase separation cylinder is connected with the top of the anaerobic internal cylinder; the bamboo-shaped hollow cylinder is arranged in the anaerobic internal cylinder, a filler is filled in the bamboo-shaped aerobiotic external cylinder, and a mixture of anaerobic granular sludge and the filler is filled in the bamboo-shaped hollow cylinder. The method comprises the following steps of: feeding sewage into the anaerobic internal cylinder, reacting with anaerobic granular sludge in the hollow cylinder, rising into the three-phase separation cylinder for separation, dropping outlet water in the bamboo-shaped aerobiotic external cylinder for aerobic treatment, and completing treatment. The device and method is used for treating low concentration sewage.