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uidelines. (Clinical trial registration number UMIN 000040101.). The role of decreased pyloric distensibility in gastroparesis as measured by the endolumenal functional luminal imaging probe (EndoFLIP) has been receiving increasing attention. In this study, we present clinical outcomes to pyloric dilation with the esophageal FLIP (EsoFLIP) in regard to gastric emptying, symptom evolution, and FLIP metrics. Patients evaluated for gastroparesis (gastric emptying studies of t ≥180 minutes during C-octanoic acid breath test and/or gastric