The incidence of EGF post-Nissen fundoplication is still unknown [1]. No consensus has been reached thus far regarding a standardized treatment for EGF. Conservative management is comprised of anti-secretory drugs. Esophageal bougienage is indicated when there is an esophageal stricture. Tissue sealants, stenting and endoscopic clipping are examples of endoscopic modalities. Endoscopic clipping can be either through or over-the-scope. Laparoscopic gastroplasty and open surgery represent surgical options [3].