“…17 Surgically induced ischemia and subsequent tissue necrosis, microscopic perforations, local ischemia, and stitch abscess may be contributing factors after a fundoplication procedure. 11,20,25 Another possibility is an iatrogenic fistula due to full-thickness suture, nasogastric tube trauma, 16,21,22 or dilation procedures. 11 The clinical presentation ranges from exacerbation of GERD symptoms to severe dysphagia and odynophagia.…”