Abstract
We appreciate the comments of Rana et al. and share their interest in this novel topic. As they mention, often multiple white or yellow plaques are found in patients undergoing capsule endoscopy and/or double-balloon enteroscopy of the small bowel for a broad range of indications. A recent study by Fenkel et al. confirms the findings of Rana et al. In their retrospective analysis of all capsule endoscopy studies performed at an urban academic medical center during a 2-year period, the presence of lymphangiectasias was evaluated and an overall prevalence of 22.9 % determined [1]. In a statistical evaluation by logistic regression analysis Fenkel et al. established a significant association of this finding with African-American ethnicity. The clinical significance of this finding so far remains unknown.
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