In this report we describe the case of a 50-year-old woman with Crohn's disease of the esophagus. She had severe distal stricture that necessitated distal esophagectomy, with esophagogastric anastomosis and Nissen fundoplication. Surgical treatment of esophageal Crohn's disease is associated with a number of complications; however, on the basis of our experience and a literature review, pyloroplasty and Nissen fundoplication in addition to surgical resection seems to be associated with fewer postoperative complications.