It is necessary for physicians to depict not only organic diseases but also actual function of the target organ if patients complain of symptoms originated from the target organ. High resolution manometry(HRM)has been developed as the esophageal function evaluation tool. HRM enables us to evaluate more accurate esophageal motility than the conventional methods. Based on HRM experience with psychosomatic specialty, we could diagnose various cases from simple motility disorders to psychosomatic

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... seases. Flexible treatments including reproduction of pathophysiology with the other tests which are easy to understand visually for patients are often useful. Good examples are esophageal fluoroscopy and biofeedback approaches. Once new knowledge and techniques are acquired, it is important to reconsider treatments depending on availability and general techniques.