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In patients with EGJ outflow obstruction based on HRM, the integrated relaxation pressure normalized on adjunctive swallows in 16/20 patients (80%), and in 8/9 patients (88%) who completed barium esophagram had normal barium clearance. Thus, although 23/111 patients (21%) with normal FLIP panometry had abnormal HRM findings, these HRMs were often considered to be false positive or equivocal results. All patients with an abnormal result from HRM were treated conservatively. CONCLUSIONS In a retrospective cohort study, we fou