2021
The 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
Effect 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
Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program
Brethauer SA, Grieco A, Fraker T, Evans-Labok K, Smith A, McEvoy MD, Saber AA, Morton JM, Petrick A. Employing Enhanced Recovery Goals in Bariatric Surgery (ENERGY): a national quality improvement project using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Surgery For Obesity And Related Diseases 2019, 15: 1977-1989. PMID: 31640906, DOI: 10.1016/j.soard.2019.08.024.Peer-Reviewed Original ResearchConceptsBariatric Surgery AccreditationLength of stayBariatric surgeryReoperation rateNational quality improvement projectBariatric Surgery projectPrimary bariatric procedureOverall adverse eventsBariatric surgery patientsEnhanced recovery pathwayEnhanced recovery protocolQuality improvement projectQuality Improvement ProgramFinal analytic sampleBariatric proceduresOverall morbidityAdverse eventsReadmission ratesSurgery patientsPrivate practice programsSignificant associationRecovery pathwaysSurgery projectAnalytic sampleProcess measuresAssessment of obesity prevalence and validity of obesity diagnoses coded in claims data for selected surgical populations
Ammann EM, Kalsekar I, Yoo A, Scamuffa R, Hsiao CW, Stokes AC, Morton JM, Johnston SS. Assessment of obesity prevalence and validity of obesity diagnoses coded in claims data for selected surgical populations. Medicine 2019, 98: e16438. PMID: 31335698, PMCID: PMC6709187, DOI: 10.1097/md.0000000000016438.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedArthroplasty, Replacement, KneeBariatric SurgeryBody Mass IndexCatheter AblationClinical CodingElectronic Health RecordsFemaleHerniorrhaphyHumansMaleMiddle AgedObesityOutcome Assessment, Health CarePatient SelectionPrevalencePrognosisReproducibility of ResultsRetrospective StudiesUnited StatesConceptsBody mass indexPositive predictive valueBariatric surgeryDiagnosis codesElectronic health recordsSurgical populationClaims dataHernia repairObesity diagnosisPrognostic factorsSurgical outcomesInterpretation of studiesCardiac ablationPatient body mass indexMeasured body mass indexHigh positive predictive valueImportant prognostic factorType of surgeryAdministrative healthcare dataAdministrative claims dataFalse positive patientsPatient ageMass indexPatient selectionIndex procedureAssociation of Laparoscopic Gastric Bypass Surgery With Telomere Length in Patients With Obesity
Morton JM, Garg T, Leva N. Association of Laparoscopic Gastric Bypass Surgery With Telomere Length in Patients With Obesity. JAMA Surgery 2019, 154: 266-268. PMID: 30566188, PMCID: PMC6439632, DOI: 10.1001/jamasurg.2018.4830.Peer-Reviewed Original ResearchThe 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 DatabaseComorbidity Remission Following Intragastric Dual Balloon Placement
Garcia L, Vajanaphanich S, Morton JM. Comorbidity Remission Following Intragastric Dual Balloon Placement. Obesity Surgery 2018, 29: 353-355. PMID: 30382461, DOI: 10.1007/s11695-018-3564-6.Peer-Reviewed Original ResearchConceptsComorbidity remissionBalloon placementDual balloonWeight lossWeight loss 6Treatment of obesityEarly-stage obesityBalloon insertionBiochemical improvementBlood pressureSingle institutionLipid profileEfficacious interventionsDemographic dataPatientsRemissionObesityMonthsSignificant improvementBalloonBiochemical dataPlacementChanges in Cerebral Cortical Thickness Related to Weight Loss Following Bariatric Surgery
Bohon C, Garcia LC, Morton JM. Changes in Cerebral Cortical Thickness Related to Weight Loss Following Bariatric Surgery. Obesity Surgery 2018, 28: 2578-2582. PMID: 29876838, PMCID: PMC6400222, DOI: 10.1007/s11695-018-3317-6.Peer-Reviewed Original ResearchConceptsCerebral cortical thicknessCortical thicknessBariatric surgeryWeight Loss Following Bariatric SurgeryGreater excess weight lossExcess weight lossCortical gray matterMagnetic resonance imaging dataBrain changesPatientsGray matterSurgeryWeight lossPreliminary evidenceNeurocognitive measuresFurther investigationMemory recallImaging dataPrevious studiesObesityGlobal measuresLarge sampleMonthsWhich 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 proceduresPrevalence 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 blacksButtressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass
Ichter ZA, Voeller L, Rivas H, Khoury H, Azagury D, Morton JM. Buttressing of the EEA stapler during gastrojejunal anastomosis decreases rate of bleeding-related complications for laparoscopic gastric bypass. Surgery For Obesity And Related Diseases 2017, 13: 802-806. PMID: 28325504, DOI: 10.1016/j.soard.2017.01.019.Peer-Reviewed Original ResearchConceptsBleeding-related complicationsGastric bypassBariatric surgerySignificant postoperative bleedingPostoperative weight lossLaparoscopic gastric bypassBody mass indexLength of staySingle academic institutionNew surgical techniqueLaparoscopic RouxPostoperative bleedingSleeve gastrectomySevere obesitySurgical characteristicsMass indexEEA staplerRetrospective studyGastrojejunal anastomosisStaple lineSurgical techniqueEffective treatmentComplicationsWeight lossTime points
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 numberCharacterizing 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 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 reinforcementSurgeonsGastrectomyTracheal Stenosis Because of Wegener Granulomatosis Misdiagnosed as Asthma
O’Hear K, Ingrande J, Brodsky JB, Morton JM, Sung CK. Tracheal Stenosis Because of Wegener Granulomatosis Misdiagnosed as Asthma. A & A Case Reports 2016, 6: 311-312. PMID: 27075424, DOI: 10.1213/xaa.0000000000000307.Peer-Reviewed Original ResearchEffect of Vagal Nerve Blockade on Moderate Obesity with an Obesity-Related Comorbid Condition: the ReCharge Study
Morton JM, Shah SN, Wolfe BM, Apovian CM, Miller CJ, Tweden KS, Billington CJ, Shikora SA. Effect of Vagal Nerve Blockade on Moderate Obesity with an Obesity-Related Comorbid Condition: the ReCharge Study. Obesity Surgery 2016, 26: 983-989. PMID: 27048437, PMCID: PMC4831996, DOI: 10.1007/s11695-016-2143-y.Peer-Reviewed Original ResearchConceptsObesity-related comorbid conditionsBody mass indexModerate obesityComorbid conditionsPercentage excess weight lossWeight lossImplant site painVagal nerve blockadeCommon adverse eventsExcess weight lossObesity-related comorbiditiesWeight management counselingType 2 diabetesGreater weight lossSite painAdverse eventsBlockade therapyPrespecified subgroupsSevere obesitySham deviceMass indexNerve blockadeSleep apneaSafety profileClinical trialsNational prevalence, causes, and risk factors for bariatric surgery readmissions
Garg T, Rosas U, Rivas H, Azagury D, Morton JM. National prevalence, causes, and risk factors for bariatric surgery readmissions. The American Journal Of Surgery 2016, 212: 76-80. PMID: 27133197, DOI: 10.1016/j.amjsurg.2016.01.023.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge DistributionBariatric SurgeryBody Mass IndexDatabases, FactualFemaleGastrectomyGastric BypassGastroplastyHumansLaparoscopyLogistic ModelsMaleMiddle AgedMultivariate AnalysisObesity, MorbidOutcome Assessment, Health CarePatient ReadmissionPostoperative ComplicationsPrevalencePrognosisRetrospective StudiesRisk FactorsSex DistributionUnited StatesConceptsLaparoscopic adjustable gastric bandingAdjustable gastric bandingLaparoscopic sleeve gastrectomyGastric bandingGastric bypassLaparoscopic RouxSleeve gastrectomyBariatric surgeryChronic obstructive pulmonary diseaseObstructive pulmonary diseaseBody mass indexAfrican American raceLength of stayCurrent Procedure Terminology codesCommon readmissionReadmitted patientsPulmonary diseaseMass indexOperative timeRisk factorsNational prevalenceReadmissionTerminology codesPatientsPublic Use File
2015
The Influence of Resected Gastric Weight upon Weight Loss after Sleeve Gastrectomy
Rosas U, Hines H, Rogan D, Rivas H, Morton J. The Influence of Resected Gastric Weight upon Weight Loss after Sleeve Gastrectomy. The American Surgeon 2015, 81: 1240-1243. PMID: 26736161, DOI: 10.1177/000313481508101225.Peer-Reviewed Original ResearchConceptsCent excess weight lossExcess weight lossGastric weightWeight lossAdequacy of resectionSingle academic institutionUpper tercileGreater initial weightsEnduring treatmentSleeve gastrectomyBariatric surgeryPostoperative dataGastric sleeveSurgical interventionIntraoperative assessmentPatientsOptimal standardizationGastrectomyFurther investigationTercileMonthsPer centPostopResectionObesity