A 69-year-old woman with diabetes mellitus was referred to the gastroenterology clinic, Rohani hospital, Babol University of Medical Sciences (Iran) for evaluation due to dyspepsia. She has heartburn and a globus sensation. Examination of the oral cavity and neck was normal. Laboratory findings were unremarkable without past medical history. At the below of the upper esophageal sphincter about 17 cm from a bite guard in upper endoscopy observed two polyps (8 x 7 mm) in the background of maroon-colored patches (Figure 1). Polyps were located in positions opposite to the kiss pattern. Polyps originated from the mucosa without extension to muscularis mucosa and no regional lymph nodes were seen at endoscopic upper sonography. Biopsy of this patch showed a heterotopic cardiac gastric mucosa in the upper esophagus (Figure 2). This case may be a good candidate for endoscopic therapy with argon plasma coagulation (APC) or radiofrequency ablation. However, the patient did not accept the proposed endoscopic treatment. So we suggested proton pump inhibitors and changed his diet.