Response

Abstract

We thank Dr Sanchez-Yague for his interest in our article. In our study “Risk factors for incomplete small-bowel capsule endoscopy,”1Westerhof J. Weersma R.K. Koornstra J.J. Risk factors for incomplete small-bowel capsule endoscopy.Gastrointest Endosc. 2009; 69: 74-80Abstract Full Text Full Text PDF PubMed Scopus (121) Google Scholar we considered a procedure as incomplete when the capsule did not reach the cecum during recording time; hence, we included cases with true capsule retention. In fact, only 1 case of true capsule retention occurred in a patient with Crohn's disease who eventually underwent laparascopic resection of a 4-cm stenotic small-bowel segment and capsule removal.In 4 other cases, the capsule remained in the stomach during the entire recording time. Even when excluding these 5 cases from our data, all identified risk factors remain the same and statistically significant.We agree that it is important to know the risk factors for incomplete capsule endoscopy studies, but there will always be cases in which the cause of incomplete capsule endoscopy remains unclear. We thank Dr Sanchez-Yague for his interest in our article. In our study “Risk factors for incomplete small-bowel capsule endoscopy,”1Westerhof J. Weersma R.K. Koornstra J.J. Risk factors for incomplete small-bowel capsule endoscopy.Gastrointest Endosc. 2009; 69: 74-80Abstract Full Text Full Text PDF PubMed Scopus (121) Google Scholar we considered a procedure as incomplete when the capsule did not reach the cecum during recording time; hence, we included cases with true capsule retention. In fact, only 1 case of true capsule retention occurred in a patient with Crohn's disease who eventually underwent laparascopic resection of a 4-cm stenotic small-bowel segment and capsule removal. In 4 other cases, the capsule remained in the stomach during the entire recording time. Even when excluding these 5 cases from our data, all identified risk factors remain the same and statistically significant. We agree that it is important to know the risk factors for incomplete capsule endoscopy studies, but there will always be cases in which the cause of incomplete capsule endoscopy remains unclear. Risk factors for incomplete small-bowel capsule endoscopy: should capsule retention be considered independently?Gastrointestinal EndoscopyVol. 70Issue 4PreviewTo the Editor: Full-Text PDF