Latest Updates

Obesity

    • Emergence of virtual technologies in monitoring and scheduling weight loss management
    • Updated with 2020 CMA Practice Guidelines
    • In the United States, prevalence of overweight and obese adults has been increasing over the past several decades. Most recently published US data (2013-2014), the overall age-adjusted prevalence of obesity was 37.7%; among men, it was 35.0% and among women, it was 40.4%.
    • Analyses of changes over the decade from 2005 through 2014, adjusted for age, race/Hispanic origin, smoking status, and education, showed significant increasing linear trends among women for overall obesity and for class 3 obesity (BMI>40) but not among men.

Obesity

    • 2022 AGA Clinical Practice Guidelines

Hypertension

    • Increasing recognition of the importance of home-based and ambulatory blood pressure monitoring reflected in expanded indications for use
    • Specific guidance from professional societies with regard to patients with chronic kidney disease
    • Recent clinical outcomes trials adding important data about optimal treatment targets
    • 2020 ISH and 2017 ACC/AHA practice guidelines indicating role of telehealth strategies in management of hypertension in adults.

Esophageal Disorders

    • Updated with the latest 2025 AGA Clinical Practice Guidelines

Esophageal Disorders

    • Updated with the latest 2025 AGA Clinical Practice Guidelines

Esophageal Disorders

    • Updated with the latest 2025 AGA Clinical Practice Guidelines

Hypertension

    • Increasing recognition of the importance of home-based and ambulatory blood pressure monitoring reflected in expanded indications for use
    • Specific guidance from professional societies with regard to patients with chronic kidney disease
    • Recent clinical outcomes trials adding important data about optimal treatment targets
    • 2020 ISH and 2017 ACC/AHA practice guidelines indicating role of telehealth strategies in management of hypertension in adults.

Urogenital Fistulas and Female Urethral Diverticula

    •  For iatrogenic vesicovaginal fistula, delaying repair until healing has occurred is no longer mandatory, and outcomes for immediate repair are comparable to delayed repairs. 
    •  Concomitant stress incontinence surgery with autologous fascial pubovaginal sling at the same time as repair of complex urethral diverticula appears to be safe and effective.
    • MRI is a valuable tool for surgical planning and is recommended prior to urethral diverticulectomy.
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