TY - JOUR T1 - Highlights from this issue JF - Frontline Gastroenterology JO - Frontline Gastroenterol SP - 85 LP - 86 DO - 10.1136/flgastro-2021-101795 VL - 12 IS - 2 AU - R Mark Beattie Y1 - 2021/03/01 UR - http://fg.bmj.com/content/12/2/85.abstract N2 - The provision of clinically assisted nutrition and hydration (CANH) can present clinicians with significant practical and ethical dilemmas. In this issue Andrew Rochford summarises the ethical and legal issues and offers a framework dealing with how to best support. This is in the context of an increasing elderly population and large and vulnerable patient groups including conditions such as stroke, dementia, advanced malignancy, cerebral palsy and eating disorders. The review discusses the indications, relative contraindications and alternative methods of support when CANH is not felt appropriate. The authors include four key learning points – the ethics of feeding is complicated and challenging, the first question should be ‘what are we trying to achieve’, CANH can be appropriately given on a trial basis and a multidisciplinary approach is essential. These issues are all dealt with comprehensively and pragmatically and the article is really helpful as a toolkit to help manage these patients. The article includes a comprehensive discussion of consent (including the legal issues), factors encouraging CANH, a useful table of questions to support decision making and discussion of exit strategies including withdrawal of treatment. Well worth working through (see page 128) .We all recognise that psychological morbidity is common in inflammatory bowel disease although … ER -