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.