this is a new departure for Frontline Gastroenterology, the editorial team felt that there were pressing arguments in favour of publishing the response to a published article from a highly experi-enced gastroenterologist. Coupled with the author’s rebuttal, the exchange of views illustrates how important it is to learn from each other, especially about things that are not readily available in textbooks or just not taught in hospitals. Response I applaud the concept of this type of arti-cle, which, in my experience, has been pioneered by our neurological colleagues in helping those less experienced in this discipline to tease out organic disease. I accept they are difficult articles to write, as every experienced clinician has their own way ...