It is posited that surgery is deemed a radical and permanent treatment modality for EGF closure in patients poorly responsive to medical therapy. However, Rholl et al. have demonstrated that surgical outcome varies for patients who developed EGF related to their fistulizing Crohn’s disease. They reported 8 patients with esophageal Crohn’s disease and EGF. Six out of eight patients opted for surgery through partial or complete esophagectomy. Surgical outcomes were variable and 2 deaths were reported. Furthermore, longer follow-up for those patients is still lacking [12].