Doctors Rosenlund and Koop comment as follows:
We are sorry Drs. Prouty and Oakley missed the objective of our article, which was merely to share the experience of a pediatric hospital regarding the incidence of duodenal ulcer disease. We did this because of the many conflicting reports, not to initiate further conflict. If our study presents a "distorted picture" regarding the incidence of ulcer disease in children, perhaps this is because of our strict criteria for the diagnosis (see article).