TY - JOUR T1 - Highlights from this issue JF - Frontline Gastroenterology JO - Frontline Gastroenterol SP - 449 LP - 450 DO - 10.1136/flgastro-2021-102009 VL - 12 IS - 6 AU - R Mark Beattie Y1 - 2021/11/01 UR - http://fg.bmj.com/content/12/6/449.abstract N2 - This is an important paper reflecting endoscopy practice in the UK in the year prior to the pandemic and will be an invaluable resource in the (ongoing) planning of how best to re-establish and where appropriate reconfigure services. The headline for me was that there were more than two million gastrointestinal endoscopic procedures performed by more than 5000 endoscopists in 2019 and that is likely to reflect under reporting (census returned by 322/471 centres). Predictably more procedures were done by more people than reported in the last census in 2017. The interesting data set will be the numbers for 2020 and 2021 and to reflect on how the restrictions faced during the pandemic will impact on services moving forward including the challenging question as to whether all the procedures done previously will still be considered necessary with the practice changes we have all had to make (see page 451) .Constipation is well recognised in ulcerative colitis (UCAC) during the acute phase (particularly proximal constipation in the setting of distal disease) and in remission although not always straightforward to diagnose or treat. In this issue Miller and colleagues discuss the pathophysiology and practical management. Factors in the aetiology include that … ER -