2024
Collateral Benefit of Systematic Improvement in Bariatric Surgery Outcomes Following a Single Quality Improvement Project for Bleeding
Chao G, Nadzam G, Cheung M, Duffy A, Ghiassi S, Morton J. Collateral Benefit of Systematic Improvement in Bariatric Surgery Outcomes Following a Single Quality Improvement Project for Bleeding. Obesity Surgery 2024, 34: 1041-1044. PMID: 38280157, DOI: 10.1007/s11695-023-07037-9.Peer-Reviewed Original ResearchConceptsQuality improvement projectImprovement projectImprove patient careTargeted quality improvement projectsVenous thromboembolism prophylaxisPatient careRoot cause analysisBariatric surgery outcomesIndications conferencePatient outcomesPostoperative complicationsThromboembolism prophylaxisSurgery outcomesStudy aimCause analysisAdverse outcomesBleedingImprove outcomesOutcomesTechnique standardization
2023
Complete Intra-Gastric Erosion of a Laparoscopic Vertical Gastric Clip
Brown K, Esnaola G, Morton J. Complete Intra-Gastric Erosion of a Laparoscopic Vertical Gastric Clip. Obesity Surgery 2023, 34: 290-290. PMID: 38015331, DOI: 10.1007/s11695-023-06836-4.Peer-Reviewed Original ResearchLaparoscopic 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
First report from the American Society of Metabolic and Bariatric Surgery closed-claims registry: prevalence, causes, and lessons learned from bariatric surgery medical malpractice claims
Morton JM, Khoury H, Brethauer SA, Baker JW, Sweet WA, Mattar S, Ponce J, Nguyen NT, Rosenthal RJ, DeMaria EJ. First report from the American Society of Metabolic and Bariatric Surgery closed-claims registry: prevalence, causes, and lessons learned from bariatric surgery medical malpractice claims. Surgery For Obesity And Related Diseases 2022, 18: 943-947. PMID: 35595651, DOI: 10.1016/j.soard.2022.04.004.Peer-Reviewed Original ResearchConceptsBariatric surgeryMalpractice claimsClosed claimsClosed claim filesPostoperative careClinical complicationsVascular injuryUniversity HospitalCommon causeClinical summaryForeign bodyHospital statusSustained improvementMedical malpractice claimsSurgeryTreatment eventsExpert panelPrevalencePrivate practiceComplicationsMalpractice insurerAmerican SocietyRegistryHospitalHigh rateBenefits of weight loss of 10% or more in patients with overweight or obesity: A review
Tahrani AA, Morton J. Benefits of weight loss of 10% or more in patients with overweight or obesity: A review. Obesity 2022, 30: 802-840. PMID: 35333446, DOI: 10.1002/oby.23371.Peer-Reviewed Original ResearchConceptsObesity-related complicationsModest weight lossWeight lossBariatric surgeryLarge weight lossReduced cancer riskWeight-related complicationsCardiovascular risk factorsHealth-related qualityWeight management programType 2 diabetesGreater weight lossMain treatment targetsCost-effective interventionLifestyle modificationLifestyle interventionSevere obesityKnee osteoarthritisSleep apneaRisk factorsCancer riskGlucose metabolismPatientsOverweightTreatment targetsBeyond 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 ResearchConceptsLaparoscopic 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
Performing Bariatric Surgery on Previously COVID+ Patients Is Safe and Effective
Cheung MS, Ying L, Duffy AJ, Ghiassi S, Nadzam G, Roberts KE, Morton JM. Performing Bariatric Surgery on Previously COVID+ Patients Is Safe and Effective. Obesity Surgery 2021, 31: 5082-5084. PMID: 34453312, PMCID: PMC8396140, DOI: 10.1007/s11695-021-05659-5.Peer-Reviewed Original ResearchBariatric-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
Results of COVID-minimal Surgical Pathway During Surge-phase of COVID-19 Pandemic
Boffa DJ, Judson BL, Billingsley KG, Del Rossi E, Hindinger K, Walters S, Ermer T, Ratner E, Mitchell MR, Laurans MS, Johnson DC, Yoo PS, Morton JM, Zurich HB, Davis K, Ahuja N. Results of COVID-minimal Surgical Pathway During Surge-phase of COVID-19 Pandemic. Annals Of Surgery 2020, 272: e316-e320. PMID: 33086321, PMCID: PMC7668334, DOI: 10.1097/sla.0000000000004455.Peer-Reviewed Original ResearchConceptsHospital-acquired COVID-19 infectionCOVID-19 infectionSurgical pathwayCOVID-19 hospital admissionsCOVID-19 pandemicCommon surgical indicationsUrgent cancer treatmentOutcomes of patientsCOVID-19 patientsCOVID-19 testingCOVID-19 positive peoplePathway patientsPostoperative periodTimely surgeryHospital admissionMedian ageSurgical indicationsUrgent operationMedian lengthCancer patientsGenitourinary tractEmergency roomBACKGROUND DATASurgical proceduresPatient statusCorrelating 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 ResearchConceptsHigher 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 consentSurgeryERAS protocols in bariatric surgery: a systematic review
Dutton J, Wadhwa A, Morton JM. ERAS protocols in bariatric surgery: a systematic review. International Anesthesiology Clinics 2020, 58: 29-33. PMID: 32482993, DOI: 10.1097/aia.0000000000000286.Peer-Reviewed Original ResearchPreventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis?
Ziemann-Gimmel P, Schumann R, English W, Morton J, Wadhwa A. Preventing Nausea and Vomiting After Bariatric Surgery: Is the Apfel Risk Prediction Score Enough to Guide Prophylaxis? Obesity Surgery 2020, 30: 4138-4140. PMID: 32415631, DOI: 10.1007/s11695-020-04682-2.Peer-Reviewed Original ResearchConceptsBariatric surgeryGeneral surgical populationMultiple antiemetic drugsFrequent side effectsHigh-risk patientsRisk prediction scoreDifferent pharmacologic classesVariety of receptorsApfel scorePONV riskPostoperative nauseaSurgical populationBariatric proceduresPharmacologic classesAntiemetic drugsSide effectsTIVA techniquePatientsPrediction scoreNauseaVomitingSurgeryScoresPONVProphylaxisPandemic Recovery Using a COVID-Minimal Cancer Surgery Pathway
Boffa DJ, Judson BL, Billingsley KG, Galetta D, Fontanez P, Odermatt C, Lindner K, Mitchell MR, Henderson CM, Carafeno T, Pinto J, Wagner J, Ancuta M, Beley P, Turner AL, Banack T, Laurans MS, Johnson DC, Yoo P, Morton JM, Zurich H, Davis K, Ahuja N. Pandemic Recovery Using a COVID-Minimal Cancer Surgery Pathway. The Annals Of Thoracic Surgery 2020, 110: 718-724. PMID: 32417195, PMCID: PMC7227551, DOI: 10.1016/j.athoracsur.2020.05.003.Peer-Reviewed Original ResearchConceptsSurgery pathwayHospital-acquired COVID-19 infectionLarge academic medical centerCOVID-19 patientsCoronavirus disease 2019 (COVID-19) pandemicCOVID-19 infectionPatient care pathwayAcademic medical centerDisease 2019 pandemicHealth care deliveryOnly surgerySurgery populationElective surgeryPatient survivalRisk of exposureProtection of patientsCare pathwayNosocomial infectionsMedical CenterCare deliverySurgical activityHospitalPatientsSurgeryMost hospitalsSafety 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 meetingsMonthsAmerican Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States
English WJ, DeMaria EJ, Hutter MM, Kothari SN, Mattar SG, Brethauer SA, Morton JM. American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surgery For Obesity And Related Diseases 2020, 16: 457-463. PMID: 32029370, DOI: 10.1016/j.soard.2019.12.022.Peer-Reviewed Original ResearchConceptsBariatric proceduresBariatric surgeryQuality Improvement ProgramNational Surgical Quality Improvement ProgramBariatric Outcomes Longitudinal DatabaseSurgical Quality Improvement ProgramIntragastric balloon placementBariatric Surgery AccreditationObesity treatment interventionsNationwide Inpatient SampleDuodenal switch procedureAmerican SocietyBiliopancreatic diversionSleeve gastrectomyAppropriate therapyUndergo surgeryBalloon placementDurable treatmentInpatient SampleOutpatient centerPrimary procedureSwitch procedureRevision proceduresSurgeryTreatment interventions
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 measuresConcerning Greater Social Contexts in Bariatric Surgery Availability and Telomere Length Outcomes—Reply
Morton J, Garg T, Leva N. Concerning Greater Social Contexts in Bariatric Surgery Availability and Telomere Length Outcomes—Reply. JAMA Surgery 2019, 154: 884-884. PMID: 31188413, DOI: 10.1001/jamasurg.2019.1727.Peer-Reviewed Original ResearchAssessment 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 procedure