CASE HISTORY:
A 65-year-old male presented to the endoscopy unit with a 1-month history of a new onset dysphagia and progressive worsening of heartburn. Patient had undergone laparoscopic Nissen fundoplication 10 years ago for refractory GERD with complete resolution of his complaints. Patient does not take any medications on a regular basis. His past-surgical history is pertinent for a previous laparoscopic Nissen fundoplication. He is a non-smoker. His physical examination was unremarkable.