The invention discloses a visual gastrointestinal decompression device which is composed of a decompression hose (1), a guide wire (2), a camera (3), a camera wire (4), a camera control chip (5), a plug and play wire socket (6), an external display (7) and the like. The visual gastrointestinal decompression device is characterized in that a brand-new visual gastrointestinal decompression scheme is provided. Based on a through of mechatronics, the decompression function and visual function are integrally designed, the camera is placed at the head of a decompression pipe to conduct visual operation on the portion to be observed, and the external display device can achieve real-time monitoring. It is avoided that the gastrointestinal decompression device is implanted into other cavities by mistake in the implanting process, medical staff can monitor the position of the decompression device and the lesion portion change condition in real time conveniently, the complication of a gastrointestinal surgical portion can be found out timely and to be treated correctly, prognosis of patients is improved, and the medical cost is reduced. By means of the scheme, the visual gastrointestinal decompression device has the advantages of being simple and compact in design, practical, safe, reliable and the like and capable of being widely applied to monitoring, diagnosis and treatment of gastrointestinal diseases.