An impacted meat bolus is the most common type of food-related foreign body, and this is usually seen in elderly patients. Acute esophageal obstruction caused by eating poorly chewed meat has been called the "Steakhouse syndrome" or the "Backyard barbecue syndrome". It has often been detected in patients with an underlying esophageal stenosis, such as a peptic esophageal stricture or Schatzki's ring, post operative narrowing or neoplasm, and only rarely is it seen in patients with esophageal motility disorders. A 71 year-old male patient had complained of swallowing difficulty after the ingestion of chicken. No structural abnormal findings were observed endoscopically after removal of the esophageal meat bolus. The esophageal manometry findings were consistent with segmental nutcracker esophagus and ineffective esophageal motility. Esophageal motility disorder may be the cause of esophageal foreign body impaction. We report here on a case of steakhouse syndrome associated with segmental nutcracker esophagus and ineffective esophageal motility.