We thank Professor Culebras Fernandez his letter and his praise to the content of our recently published narrative review on percutaneous endoscopic gastrostomy. A systematic review of the literature would have required a search in multiple languages, as we recently did for other research. Aware of the diffusivity of English language in Science, an increasing number of professional and scientific journals from varied geographical origin, including many from Arab countries, India and Singapore, have adopted English as language for publication in order to provide their contents with an improving visibility. This same strategy was followed by the Spanish Journal of Gastroenterology (Revista Española de Enfermedades Digestivas or REED) for all its contents several decades ago. As a result, the Web of Science search provided by the Professor in his letter reveals that all the documents published on endoscopic gastrostomy in REED since 1993 are written in English.