Key Clinical Message
Esophago-gastric fistula following laparoscopic Nissen fundoplication in an older adult was completely resolved by virtue of conservative medical treatment with proton pump inhibitors, sparing invasive approaches like endoscopy and surgery.
Conflicts of interest: Authors have no conflicts of interest to disclose
Informed consent: A signed written informed consent was obtained from the patient prior to writing the manuscript attesting permission to publish the clinical history.
Funding Information: None.