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  1. Thomas R de Wijkerslooth1,
  2. Esther M Stoop2,
  3. Patrick M Bossuyt3,
  4. Monique E van Leerdam2,
  5. Paul Fockens1,
  6. Ernst J Kuipers2,
  7. E Dekker1 on behalf of all other coauthors
  1. 1Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, The Netherlands
  2. 2Department of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands
  3. 3Department of Clinical Epidemiology and Biostatistics, Academic Medical Center, Amsterdam, The Netherlands
  1. Correspondence to Dr Evelien Dekker, Gastroenterologist, Department of Gastroenterology & Hepatology C2-115, Academic Medical Center, PO Box 22700, 1100 DE Amsterdam, The Netherlands; e.dekker{at}amc.uva.nl

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We appreciate the comments by Dr Westwood and colleagues.1 Colonoscopy is the most accurate technique for detecting adenomas, but is not infallible.2 Advanced techniques aimed at improving colonoscopic visualisation could possibly reduce adenoma miss rates. We therefore performed a parallel randomised trial to study the effect of cap-assisted colonoscopy (CAC).3 In contrast with Rastogi et al,4 we …

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