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
Association of Bariatric Surgery and National Medication Use
Morton JM, Ponce J, Malangone-Monaco E, Nguyen N. Association of Bariatric Surgery and National Medication Use. Journal Of The American College Of Surgeons 2018, 228: 171-179. PMID: 30453056, DOI: 10.1016/j.jamcollsurg.2018.10.021.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBariatric SurgeryCardiovascular AgentsDrug UtilizationFemaleHealth Care CostsHumansHypoglycemic AgentsLongitudinal StudiesMaleMatched-Pair AnalysisMiddle AgedObesity, MorbidPostoperative PeriodPropensity ScoreRetrospective StudiesUnited StatesYoung AdultConceptsNonsurgical control patientsBariatric surgical patientsControl patientsSurgical patientsMedication useControl groupSurgical groupPharmacy costsPropensity-matched control groupTruven Health Analytics MarketScan Commercial ClaimsBariatric surgical proceduresMarketScan Commercial ClaimsTotal pharmacy costsLower pharmacy costsNonsurgical control groupEnduring treatmentGastric bypassIndex dateBariatric surgeryObese patientsPostoperative periodSevere obesitySurgical cohortBariatric operationsEncounters DatabasePrevalence and Risk Factors for Bariatric Surgery Readmissions
Berger ER, Huffman KM, Fraker T, Petrick AT, Brethauer SA, Hall BL, Ko CY, Morton JM. Prevalence and Risk Factors for Bariatric Surgery Readmissions. Annals Of Surgery 2018, 267: 122-131. PMID: 27849660, DOI: 10.1097/sla.0000000000002079.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultBariatric SurgeryConfidence IntervalsFemaleFollow-Up StudiesHumansIncidenceLaparoscopyMaleMiddle AgedObesity, MorbidPatient ReadmissionPostoperative ComplicationsPrevalencePrognosisQuality ImprovementRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsUnited StatesYoung AdultConceptsLaparoscopic adjustable gastric bandingLaparoscopic sleeve gastrectomyPrimary bariatric surgeryBariatric surgeryReadmission ratesNutritional depletionPrimary laparoscopic adjustable gastric bandingAdjustable gastric bandingCurrent Procedural Terminology codesNational readmission ratesProcedural Terminology codesType of procedureRelated readmissionsAbdominal painGastric bandingGastric bypassLaparoscopic RouxSleeve gastrectomyAnastomotic leakPrimary outcomePrimary procedureRisk factorsCommon causeReadmissionLRYGB
2017
Obesity in America
Rosenthal RJ, Morton J, Brethauer S, Mattar S, De Maria E, Benz JK, Titus J, Sterrett D. Obesity in America. Surgery For Obesity And Related Diseases 2017, 13: 1643-1650. PMID: 28935198, DOI: 10.1016/j.soard.2017.08.002.Peer-Reviewed Original ResearchConceptsPrevalence of obesityDisease of obesityBest treatment modalityTreatment of obesityUS household populationConsequences of obesityGeneral US populationSerious health problemHIV infectionExcess weightObesity treatmentTreatment modalitiesTreatment optionsUniversity HospitalHeart diseaseObese AmericansEarly deathObesityHealth problemsUS populationMental illnessDiseaseWeight lossProbability-based panelOversamples of blacksA 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 age
2016
The 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 ResearchConceptsLaparoscopic 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 reinforcementSurgeonsGastrectomy
2014
Does Hospital Accreditation Impact Bariatric Surgery Safety?
Morton JM, Garg T, Nguyen N. Does Hospital Accreditation Impact Bariatric Surgery Safety? Annals Of Surgery 2014, 260: 504-509. PMID: 25115426, DOI: 10.1097/sla.0000000000000891.Peer-Reviewed Original ResearchConceptsLength of stayBariatric surgery outcomesNationwide Inpatient SampleBariatric surgerySurgery outcomesHigher mean LOSMean LOSShorter LOSHospital accreditationMultivariable logistic regression analysisHospital accreditation statusNinth Revision codesLogistic regression analysisLower total chargesBariatric centerRevision codesPatient dischargeAccredited centersInpatient SampleUnique hospitalsAmerican CollegeICD9 codesInternational ClassificationSurgery safetyHospitalIs Ambulatory Laparoscopic Roux-En-Y Gastric Bypass Associated With Higher Adverse Events?
Morton JM, Winegar D, Blackstone R, Wolfe B. Is Ambulatory Laparoscopic Roux-En-Y Gastric Bypass Associated With Higher Adverse Events? Annals Of Surgery 2014, 259: 286-292. PMID: 24169190, DOI: 10.1097/sla.0000000000000227.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAmbulatory Surgical ProceduresDatabases, FactualFemaleGastric BypassHumansLaparoscopyLength of StayLogistic ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisObesity, MorbidOdds RatioPatient ReadmissionPostoperative ComplicationsTreatment OutcomeYoung AdultConceptsBody mass indexSerious complicationsGastric bypassMass indexMedian body mass indexLaparoscopic gastric bypass procedureHigher adverse eventsLaparoscopic Roux-EnY Gastric BypassGastric bypass proceduresLogistic regression analysisDistribution of LOSLogistic regression modelsLRYGB patientsLaparoscopic RouxRoux-enMedian LOSAdverse eventsMedian agePatient demographicsReadmission ratesBypass proceduresInsurance statusComplicationsClinical database
2012
Laparoscopic vs Open Gastric Bypass Surgery: Differences in Patient Demographics, Safety, and Outcomes
Banka G, Woodard G, Hernandez-Boussard T, Morton JM. Laparoscopic vs Open Gastric Bypass Surgery: Differences in Patient Demographics, Safety, and Outcomes. JAMA Surgery 2012, 147: 550-556. PMID: 22786543, DOI: 10.1001/archsurg.2012.195.Peer-Reviewed Original ResearchConceptsLRYGB patientsGastric bypassMore complicationsOpen gastric bypass surgeryQuality Patient Safety IndicatorsRetrospective cohort studyGastric bypass surgeryHigh-volume hospitalsLonger median lengthNationwide Inpatient SamplePopulation-based studyLength of stayPatient safety indicatorsLower odds ratioHigher total chargesNumber of proceduresLRYGB cohortsNonroutine dispositionLaparoscopic RouxOpen RouxBypass surgeryPatient demographicsCohort studyComorbidity differencesMedian lengthDeterminants of Adverse Events in Vascular Surgery
Hernandez-Boussard T, McDonald KM, Morton JM, Dalman RL, Bech FR. Determinants of Adverse Events in Vascular Surgery. Journal Of The American College Of Surgeons 2012, 214: 788-797. PMID: 22425449, PMCID: PMC4890555, DOI: 10.1016/j.jamcollsurg.2012.01.045.Peer-Reviewed Original ResearchConceptsPatient safety indicatorsAbdominal aortic aneurysm repairAortic aneurysm repairPotential adverse eventsAdverse eventsRisk-adjusted ratesVascular surgeryAneurysm repairVascular proceduresOpen abdominal aortic aneurysm repairEndovascular abdominal aortic aneurysm repairICD-9-CM codesLow-volume hospitalsPublic payersNationwide Inpatient SamplePatient safety eventsHospital stayNonwhite patientsPatient characteristicsPain patientsVascular patientsCarotid endarterectomyLower risk-adjusted rateOverall high rateProcedure indication
2011
Halo Effect for Bariatric Surgery: Collateral Weight Loss in Patients' Family Members
Woodard GA, Encarnacion B, Peraza J, Hernandez-Boussard T, Morton J. Halo Effect for Bariatric Surgery: Collateral Weight Loss in Patients' Family Members. JAMA Surgery 2011, 146: 1185-1190. PMID: 22006878, DOI: 10.1001/archsurg.2011.244.Peer-Reviewed Original ResearchConceptsGastric bypass surgeryBypass surgeryBody mass indexPatients' family membersAdult family membersHealthy behaviorsBariatric surgeryMass indexWeight lossLower body mass indexFamily membersMultidimensional health assessmentActivity levelsChildren of patientsSignificant weight lossDaily activity levelsQuality of lifeBariatric centerLifestyle counselingMorbid obesitySecondary outcomesWaist circumferenceObese childrenEffective treatmentUncontrollable eating
2008
Are health related outcomes in acute pancreatitis improving? An analysis of national trends in the U.S. from 1997 to 2003.
Brown A, Young B, Morton J, Behrns K, Shaheen N. Are health related outcomes in acute pancreatitis improving? An analysis of national trends in the U.S. from 1997 to 2003. JOP Journal Of The Pancreas 2008, 9: 408-14. PMID: 18648131.Peer-Reviewed Original ResearchConceptsNational Inpatient Sample databasePrincipal discharge diagnosisAcute pancreatitisDischarge diagnosisHospital characteristicsStudy periodLarge non-teaching hospitalsCommon inflammatory disorderLength of stayNon-teaching hospitalsChi-square testFrequency of dischargeMedical ICUHospital admissionMedian lengthInflammatory disordersPancreatitisMortalityAlcohol useStayNational databaseSample databaseU.S. hospitalsMean lengthDemographic characteristicsLaparoscopic Adjustable Gastric Banding in a Morbidly Obese 18-year-old with Hypertrophic Cardiomyopathy
Waipa J, Dutta S, Albanese CT, Morton JM. Laparoscopic Adjustable Gastric Banding in a Morbidly Obese 18-year-old with Hypertrophic Cardiomyopathy. Obesity Surgery 2008, 18: 332-335. PMID: 18193180, DOI: 10.1007/s11695-007-9330-9.Peer-Reviewed Original ResearchConceptsLaparoscopic adjustable gastric band surgeryAdjustable gastric band surgeryLaparoscopic adjustable gastric bandingSurgical weight reductionUnderlying cardiac pathologyCardiac risk factorsAdjustable gastric bandingGastric band surgeryObstructive sleep apneaGastric bandingMultiple comorbiditiesSystemic hypertensionHypertensive cardiomyopathyCardiac dysfunctionObese malesSleep apneaSurgical interventionObese adolescentsCase reportRisk factorsHypertrophic cardiomyopathySurgical casesBand surgeryCardiac pathologyBehavioral therapy
2007
National Trends in Adolescent Bariatric Surgical Procedures and Implications for Surgical Centers of Excellence
Schilling PL, Davis MM, Albanese CT, Dutta S, Morton J. National Trends in Adolescent Bariatric Surgical Procedures and Implications for Surgical Centers of Excellence. Journal Of The American College Of Surgeons 2007, 206: 1-12. PMID: 18155562, DOI: 10.1016/j.jamcollsurg.2007.07.028.Peer-Reviewed Original ResearchConceptsAdolescent bariatric proceduresBariatric proceduresBariatric operationsInpatient DatabaseMost hospitalsAdolescent bariatric patientsHospital complication ratesBariatric surgery patientsBariatric surgical proceduresLow-volume centersNationwide Inpatient SampleKids' Inpatient DatabaseNational trendsHospital complicationsHospital deathBariatric surgeryBariatric patientsComplication ratePatient characteristicsSurgery patientsEligible adolescentsNonsurgical treatmentAdult hospitalsPediatric populationAdult centersGastrointestinal Complications after Coronary Artery Bypass Grafting: A National Study of Morbidity and Mortality Predictors
Rodriguez F, Nguyen TC, Galanko JA, Morton J. Gastrointestinal Complications after Coronary Artery Bypass Grafting: A National Study of Morbidity and Mortality Predictors. Journal Of The American College Of Surgeons 2007, 205: 741-747. PMID: 18035256, DOI: 10.1016/j.jamcollsurg.2007.07.003.Peer-Reviewed Original ResearchConceptsGI complicationsGastrointestinal complicationsHospital lengthInpatient mortalityPrevious single-institution studiesCoronary Artery Bypass GraftingNational population-based studyConcomitant valve proceduresInternal mammary graftTotal hospital lengthArtery Bypass GraftingCoronary artery bypassIntraaortic balloon pumpNationwide Inpatient SamplePopulation-based studySingle-institution studyInpatient mortality riskLogistic regression analysisCABG patientsArtery bypassBypass GraftingMammary graftBalloon pumpValve proceduresMortality predictorsClinical resolution of severely symptomatic pseudotumor cerebri after gastric bypass in an adolescent
Chandra V, Dutta S, Albanese CT, Shepard E, Farrales-Nguyen S, Morton J. Clinical resolution of severely symptomatic pseudotumor cerebri after gastric bypass in an adolescent. Surgery For Obesity And Related Diseases 2007, 3: 198-200. PMID: 17324634, DOI: 10.1016/j.soard.2006.11.015.Peer-Reviewed Original ResearchConceptsVisual field deficitsPseudotumor cerebriIntracranial pressureGastric bypassField deficitsProgressive visual field deficitIntensive medical managementExcess body weightGastric bypass surgeryObese adolescent girlsElevated intracranial pressureSevere visual impairmentBypass surgeryClinical resolutionLumboperitoneal shuntMedical managementComplete regressionTreatment optionsSymptomatic pseudotumorBody weightCerebriVisual impairmentWeight lossAdolescent girlsBypass
2006
Methamphetamine Use Following Bariatric Surgery in an Adolescent
Dutta S, Morton J, Shepard E, Peebles R, Farrales-Nguyen S, Hammer LD, Albanese CT. Methamphetamine Use Following Bariatric Surgery in an Adolescent. Obesity Surgery 2006, 16: 780-782. PMID: 16756743, DOI: 10.1381/096089206777346646.Peer-Reviewed Original ResearchConceptsBariatric surgeryWeight lossAdolescent bariatric patientsInpatient nutritional rehabilitationMorbidly obese adolescentsBariatric surgical patientsPostoperative weight lossSigns of malnutritionAppropriate screening testsIllicit drug useConsiderable weight lossBariatric patientsPostoperative periodSurgical patientsNutritional rehabilitationPreoperative assessmentAppetite suppressionMicronutrient supplementationObese adolescentsPsychiatric assessmentTherapeutic strategiesDiet pillsDrug useScreening testSubstance abuse