2023
Laparoscopic Adjustable Gastric Band Colonization May Indicate Re-classification of Surgical Wounds
Ichter Z, Khoury H, Voller L, Deb S, Morton J. Laparoscopic Adjustable Gastric Band Colonization May Indicate Re-classification of Surgical Wounds. Obesity Surgery 2023, 34: 282-285. PMID: 37946013, DOI: 10.1007/s11695-023-06790-1.Peer-Reviewed Original ResearchConceptsSurgical site infectionRetrospective chart reviewGastric band removalLAGB removalChart reviewSite infectionSurgical woundsBand removalClean woundsLaparoscopic adjustable gastric band removalRate of SSIMethodsThis retrospective chart reviewSurgical site infection developmentCommon bariatric proceduresLaparoscopic bariatric surgerySource of morbidityHospital-acquired conditionsOutcomes of interestCoagulase-negative staphylococciBariatric surgeryDirty woundsBariatric proceduresGastric bandGastrointestinal tractPatients
2022
Beyond 5 years: a matched cohort of sleeve gastrectomy versus gastric bypass
Blevins KS, Garcia L, Forrester JD, Morton JM, Azagury DE. Beyond 5 years: a matched cohort of sleeve gastrectomy versus gastric bypass. Surgery For Obesity And Related Diseases 2022, 18: 789-793. PMID: 35484048, DOI: 10.1016/j.soard.2022.03.008.Peer-Reviewed Original ResearchMeSH KeywordsGastrectomyGastric BypassHumansLaparoscopyObesity, MorbidRetrospective StudiesTreatment OutcomeWeight LossConceptsLaparoscopic sleeve gastrectomyLSG patientsLRYGB patientsBody mass indexBody weight lossWeight lossGastric bypassSleeve gastrectomyMass indexExcess body weight lossPreoperative body mass indexShort-term favorable outcomesTotal body weight lossExcellent short-term outcomesLong-term weight lossCommon bariatric surgeryLong-term followShort-term outcomesLaparoscopic RouxAverage followBariatric surgeryLess weight lossPreoperative differencesPrimary outcomeIntestinal anatomy
2021
Bariatric-Metabolic Surgery Utilisation in Patients With and Without Diabetes: Data from the IFSO Global Registry 2015–2018
Welbourn R, Hollyman M, Kinsman R, Dixon J, Cohen R, Morton J, Ghaferi A, Higa K, Ottosson J, Pattou F, Al-Sabah S, Anvari M, Himpens J, Liem R, Våge V, Walton P, Brown W, Kow L. Bariatric-Metabolic Surgery Utilisation in Patients With and Without Diabetes: Data from the IFSO Global Registry 2015–2018. Obesity Surgery 2021, 31: 2391-2400. PMID: 33638756, PMCID: PMC8113173, DOI: 10.1007/s11695-021-05280-6.Peer-Reviewed Original ResearchConceptsBody mass indexType 2 diabetes mellitusMethodsCross-sectional analysisRates of T2DMBariatric-metabolic surgeryHigh rateGastric bypassPrimary surgerySleeve gastrectomyDiabetes mellitusMass indexGlobal RegistryBaseline ageNational registryInclusion criteriaT2DMType of operationPatientsOlder menWomenSurgeryRegistryMenHigher proportionCommon operationThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program bariatric surgical risk/benefit calculator: 30-day risk
Grieco A, Huffman KM, Cohen ME, Hall BL, Morton JM, Ko CY. The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program bariatric surgical risk/benefit calculator: 30-day risk. Surgery For Obesity And Related Diseases 2021, 17: 1117-1124. PMID: 33773930, DOI: 10.1016/j.soard.2021.02.005.Peer-Reviewed Original ResearchConceptsBariatric Surgery AccreditationLaparoscopic adjustable gastric bandCo-morbidity remissionLaparoscopic sleeve gastrectomyAdjustable gastric bandSurgical care teamQuality Improvement ProgramLogistic regression modelsClinical data registryMBSAQIP dataLaparoscopic RouxBariatric surgeryBiliopancreatic diversionGastric bandGastric bypassSleeve gastrectomyAdult patientsDuodenal switchPostoperative riskRisk calculatorCare teamAmerican CollegeData registryExcellent calibrationRisk features
2020
Correlating actual one-year weight loss with predicted weight loss by the MBSAQIP: bariatric surgical risk/benefit calculator
Zhou R, Ying L, Valle J, Moore J, Nadzam G, Roberts K, Ghiassi S, Morton J, Duffy A. Correlating actual one-year weight loss with predicted weight loss by the MBSAQIP: bariatric surgical risk/benefit calculator. Surgical Endoscopy 2020, 35: 5705-5708. PMID: 32968922, DOI: 10.1007/s00464-020-08030-4.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryBody Mass IndexHumansObesityObesity, MorbidRetrospective StudiesRisk AssessmentTreatment OutcomeWeight LossConceptsHigher preoperative BMIBariatric surgeryWeight lossActual weight lossPreoperative BMIOne-year weight lossYale-New Haven HospitalNational databasePatient preoperative informationMethodsA retrospective reviewBody mass indexBackgroundThe American SocietyNew Haven HospitalUnpaired t-testObese patientsPatient factorsRetrospective reviewMass indexPreoperative discussionPreoperative informationBMI pointsBMIPatientsInformed consentSurgerySafety and Efficacy of Bariatric and Metabolic Surgery
Ghiassi S, Morton JM. Safety and Efficacy of Bariatric and Metabolic Surgery. Current Obesity Reports 2020, 9: 159-164. PMID: 32253662, DOI: 10.1007/s13679-020-00377-y.Peer-Reviewed Original ResearchConceptsDurable weight lossBariatric surgeryRisk/benefit ratioWeight lossRisk of complicationsCurrent medical treatmentRisk of mortalityObesity-related diseasesReviewBariatric surgeryBariatric proceduresCause morbidityMetabolic surgeryObesity comorbiditiesMedical managementRelated comorbiditiesSafety profileCardiovascular diseaseGlobal prevalenceMedical treatmentSurgeryBenefit ratioMortalityComorbiditiesMorbidityDurable methodEffect of JumpstartMD, a Commercial Low‐Calorie Low‐Carbohydrate Physician‐Supervised Weight Loss Program, on 22,407 Adults
Bourke S, Morton JM, Williams P. Effect of JumpstartMD, a Commercial Low‐Calorie Low‐Carbohydrate Physician‐Supervised Weight Loss Program, on 22,407 Adults. Journal Of Obesity 2020, 2020: 8026016. PMID: 32318289, PMCID: PMC7157789, DOI: 10.1155/2020/8026016.Peer-Reviewed Original ResearchConceptsWeight loss programGreater weight lossWeight lossLoss programWeekly appointmentsCommercial weight loss programEffective weight lossPharmacologic treatmentLow carbohydrate foodsMeal replacementReplacement dietLast observationCompletersMajor determinantWomenDietLonger enrollmentAppointmentsPatientsCoach meetingsMonths
2019
The Impact of Ethnicity on Metabolic Outcomes after Bariatric Surgery
Valencia A, Garcia LC, Morton J. The Impact of Ethnicity on Metabolic Outcomes after Bariatric Surgery. Journal Of Surgical Research 2019, 236: 345-351. PMID: 30694776, DOI: 10.1016/j.jss.2018.09.061.Peer-Reviewed Original ResearchConceptsBody mass indexBariatric surgeryMetabolic outcomesDiabetic outcomesOral medicationsBlack patientsMass indexAsian patientsLaparoscopic sleeve gastrectomy procedureType II diabetes mellitusSignificant metabolic improvementSimilar metabolic outcomesSleeve gastrectomy procedureMajority of patientsAsian patient populationSingle academic institutionEthnic minority patientsNon-Hispanic whitesDiabetes remissionDiabetes resolutionGastric bypassLaparoscopic RouxPostoperative visitDiabetes mellitusMetabolic improvement
2018
Heterogeneity of weight loss after gastric bypass, sleeve gastrectomy, and adjustable gastric banding
Azagury D, Mokhtari TE, Garcia L, Rosas US, Garg T, Rivas H, Morton J. Heterogeneity of weight loss after gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Surgery 2018, 165: 565-570. PMID: 30316577, DOI: 10.1016/j.surg.2018.08.023.Peer-Reviewed Original ResearchConceptsLaparoscopic adjustable gastric bandingPercent excess weight lossAdjustable gastric bandingExcess weight lossLaparoscopic sleeve gastrectomySuccessful treatment effectGastric bandingLaparoscopic RouxGastric bypassSleeve gastrectomyOdds ratioWeight lossTreatment effectsMean percent excess weight lossLong-term weight lossLaparoscopic adjustable gastricBody mass indexSingle academic institutionSubstantial weight lossAdjustable gastricPostoperative BMIBariatric proceduresObese patientsConsecutive patientsMass indexWhich postoperative complications matter most after bariatric surgery? Prioritizing quality improvement efforts to improve national outcomes
Daigle CR, Brethauer SA, Tu C, Petrick AT, Morton JM, Schauer PR, Aminian A. Which postoperative complications matter most after bariatric surgery? Prioritizing quality improvement efforts to improve national outcomes. Surgery For Obesity And Related Diseases 2018, 14: 652-657. PMID: 29503096, DOI: 10.1016/j.soard.2018.01.008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnastomotic LeakBariatric SurgeryCritical CareFemaleHealth PrioritiesHumansMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsPostoperative HemorrhageProspective StudiesReoperationRisk AssessmentSurgical Wound InfectionTreatment OutcomeUrinary Tract InfectionsVenous ThromboembolismConceptsPopulation attributable fractionBariatric surgeryAttributable fractionSpecific complicationsIntensive care unit admissionQuality Improvement Program databaseBariatric surgery complicationsPrimary bariatric procedureCare unit admissionEnd-organ dysfunctionAdjustable gastric bandingImprovement Program databaseBariatric Surgery AccreditationUrinary tract infectionParticipant Use FileKey clinical outcomesKey surgical outcomesQuality improvement effortsUnit admissionGastric bandingGastric bypassPostoperative complicationsSleeve gastrectomyAdverse eventsBariatric procedures
2017
Surgical Anti-Reflux Options Beyond Fundoplication
Azagury D, Morton J. Surgical Anti-Reflux Options Beyond Fundoplication. Current Gastroenterology Reports 2017, 19: 35. PMID: 28725999, DOI: 10.1007/s11894-017-0582-9.Peer-Reviewed Original ResearchConceptsGastroesophageal reflux diseaseSurgical managementEffective surgical optionMagnetic sphincter augmentationFuture surgical interventionGastric bypassReflux diseaseSphincter augmentationSymptom recurrenceGas bloatingMedical therapySurgical optionsSurgical interventionPotential complicationsCurrent indicationsSurgical proceduresPrior interventionsFundoplicationElectrical stimulationReviewThis paperInterventionOptionsIndicationsDysphagiaRouxA multidisciplinary approach to laparoscopic sleeve gastrectomy among multiethnic adolescents in the United States
Jaramillo JD, Snyder E, Farrales S, Stevens M, Wall JK, Chao S, Morton J, Pratt JS, Hammer L, Shepard WE, Bruzoni M. A multidisciplinary approach to laparoscopic sleeve gastrectomy among multiethnic adolescents in the United States. Journal Of Pediatric Surgery 2017, 52: 1606-1609. PMID: 28697852, DOI: 10.1016/j.jpedsurg.2017.06.021.Peer-Reviewed Original ResearchConceptsLaparoscopic sleeve gastrectomySleeve gastrectomyObese adolescentsPercent excess weight lossNonalcoholic fatty liver diseaseWeight lossComorbidity resolution rateMorbidly obese adolescentsResolution of comorbiditiesExcess weight lossExcess body weightSerious public health problemDescriptive case seriesFatty liver diseaseOccurrence of complicationsPublic health problemMorbid obesityProspective databaseSurgical complicationsPrimary outcomeCase seriesComorbid conditionsLiver diseaseRetrospective studyMean ageQuality of Life After Bariatric Surgery
Mazer LM, Azagury DE, Morton JM. Quality of Life After Bariatric Surgery. Current Obesity Reports 2017, 6: 204-210. PMID: 28527103, DOI: 10.1007/s13679-017-0266-7.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryHumansMental HealthObesityQuality of LifeRecovery of FunctionTreatment OutcomeWeight LossConceptsQuality of lifeBariatric surgeryDefinition of QoLLife outcomesPatient-reported qualityLong-term QoLConsensus Conference StatementObesity resultsPhysical QoLCurrent evidenceReviewThe purposeSurgeryQoLConference StatementMental healthLasting improvementAbsence of consensusRecent findingsOutcomesInitial studySummaryObesityComorbiditiesFollowComparative effectiveness of primary bariatric operations in the United States
Sudan R, Maciejewski ML, Wilk AR, Nguyen NT, Ponce J, Morton JM. Comparative effectiveness of primary bariatric operations in the United States. Surgery For Obesity And Related Diseases 2017, 13: 826-834. PMID: 28236529, DOI: 10.1016/j.soard.2017.01.021.Peer-Reviewed Original ResearchConceptsBPD/DSPrimary bariatric operationsBariatric surgery centerBariatric operationsAdverse eventsSurgery centersBody mass index unitWeight lossCo-morbidity resolutionMore adverse eventsMultiple surgical centersSerious adverse eventsType 2 diabetesGreater weight lossLarge multisite cohortCurrent bariatric operationsT2D resolutionComorbidity resolutionBaseline characteristicsGastric bypassDuodenal switchSurgical centersInverse probability weightingMultisite cohortOdds ratio
2016
Influence of Weight Loss Attempts on Bariatric Surgery Outcomes
Deb S, Voller L, Palisch C, Ceja O, Turner W, Rivas H, Morton JM. Influence of Weight Loss Attempts on Bariatric Surgery Outcomes. The American Surgeon 2016, 82: 916-920. PMID: 27779973, DOI: 10.1177/000313481608201012.Peer-Reviewed Original ResearchConceptsBody mass indexWeight loss attemptsPreoperative body mass indexWeight loss outcomesWeight lossLoss outcomesLong-term weight loss outcomesPrior weight loss attemptsNonsurgical weight lossExcess weight lossBariatric surgery patientsBariatric surgery outcomesGraphPad Prism 6Spearman correlation testBariatric proceduresBariatric surgerySurgery patientsMass indexSurgery outcomesClinic assessmentPatient's chanceSignificant negative correlationAverage durationSurgeryMean numberObesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature
Springer BD, Carter JT, McLawhorn AS, Scharf K, Roslin M, Kallies KJ, Morton JM, Kothari SN. Obesity and the role of bariatric surgery in the surgical management of osteoarthritis of the hip and knee: a review of the literature. Surgery For Obesity And Related Diseases 2016, 13: 111-118. PMID: 27865814, DOI: 10.1016/j.soard.2016.09.011.Peer-Reviewed Original ResearchConceptsBariatric surgeryTotal joint arthroplastyJoint arthroplastyTotal joint arthroplasty outcomesJoint functionFundamental clinical questionsJoint arthroplasty outcomesSystemic inflammatory changesImpact of obesityMajority of patientsLower extremity arthritisDevelopment of osteoarthritisSignificant weight lossLower extremity rangeLower limb biomechanicsMorbid obesityObese patientsInflammatory changesSurgical managementArthroplasty outcomesGait speedExtremity rangeGait biomechanicsClinical questionsObesityCharacterizing Readmissions After Bariatric Surgery
Garg T, Rosas U, Rogan D, Hines H, Rivas H, Morton JM, Azagury D. Characterizing Readmissions After Bariatric Surgery. Journal Of Gastrointestinal Surgery 2016, 20: 1797-1801. PMID: 27613733, DOI: 10.1007/s11605-016-3247-3.Peer-Reviewed Original ResearchConceptsBariatric surgeryIndex hospital lengthAdjustable gastric bandMultivariable logistic regressionSingle academic institutionHospital lengthHospital LOSLaparoscopic RouxGastric bandGastric bypassIndex procedureImportant quality metricGastrointestinal issuesCommon causeReadmissionSurgeryLogistic regressionPatientsMean timeLaboratory dataLRYGBDaysGastrectomyRouxStayThe Impact of Different Surgical Techniques on Outcomes in Laparoscopic Sleeve Gastrectomies
Berger ER, Clements RH, Morton JM, Huffman KM, Wolfe BM, Nguyen NT, Ko CY, Hutter MM. The Impact of Different Surgical Techniques on Outcomes in Laparoscopic Sleeve Gastrectomies. Annals Of Surgery 2016, 264: 464-473. PMID: 27433904, DOI: 10.1097/sla.0000000000001851.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolFemaleGastrectomyHumansLaparoscopyMaleMiddle AgedPylorusTreatment OutcomeYoung AdultConceptsLaparoscopic sleeve gastrectomyStaple line reinforcementBougie sizeSurgical techniqueSleeve gastrectomyWeight lossSurgeon levelMBSAQIP data registryLow morbidity rateGood surgical techniqueDifferent surgical techniquesPercent of surgeonsLeak rateLogistical regression modelLSG operationsMorbidity rateClinical effectivenessSafe procedurePatient levelStaple lineHigher leak rateData registryLine reinforcementSurgeonsGastrectomyBariatric Surgery Outcomes in US Accredited vs Non-Accredited Centers: A Systematic Review
Azagury D, Morton JM. Bariatric Surgery Outcomes in US Accredited vs Non-Accredited Centers: A Systematic Review. Journal Of The American College Of Surgeons 2016, 223: 469-477. PMID: 27423398, DOI: 10.1016/j.jamcollsurg.2016.06.014.Peer-Reviewed Original ResearchConceptsNon-accredited centersBariatric surgerySurgical outcomesOdds ratioAdjustable gastric bandBariatric surgery outcomesWeight loss surgeryVertical banded gastroplastyNewcastle-Ottawa ScaleRisk-adjusted outcomesCenters of excellenceBiliopancreatic diversionGastric bandGastric bypassDuodenal switchSurgery outcomesNational coverage decisionPRISMA guidelinesMEDLINE databaseSurgerySystematic reviewMedical literatureBariatric AccreditationMedical evidenceExcellence accreditationEthnic Considerations for Metabolic Surgery
Morton JM. Ethnic Considerations for Metabolic Surgery. Diabetes Care 2016, 39: 949-953. PMID: 27222553, DOI: 10.2337/dc16-0413.Peer-Reviewed Original ResearchMeSH KeywordsBariatric SurgeryComorbidityDiabetes ComplicationsDiabetes MellitusEthnicityHumansObesityTreatment OutcomeConceptsMetabolic surgerySurgery outcomesBurden of obesityDifferent ethnic groupsComorbidity remissionDiabetes variesInfluence of ethnicitySurgeryEthnic groupsEthnic disparitiesObesityHealth concernWeight lossSocioeconomic statusDiabetesOutcomesEthnicityRemissionComplicationsGroupEthnic considerationsFurther refinement