An esophageal stricture is defined as an abnormal narrowing of the esophageal lumen. Esophageal stents are used to treat both benign and malignant esophageal strictures. Placement of stents can be particularly challenging in distal and severely narrowed esophageal strictures. In this report, we present the case of an 86-year-old woman with a narrow distal esophageal stricture, successfully treated with the insertion of a self-expanding metal stent (SEMS) with an antireflux feature. The procedure was performed under fluoroscopic guidance. This case aims to provide a valuable reference for medical professionals encountering similar cases requiring esophageal stenting.