2023
Factor Xa inhibitors versus vitamin K antagonist in morbidly obese patients with venous thromboembolism: a systematic review and meta-analysis
Park D, An S, Arif A, Sana M, Vij A. Factor Xa inhibitors versus vitamin K antagonist in morbidly obese patients with venous thromboembolism: a systematic review and meta-analysis. BMC Cardiovascular Disorders 2023, 23: 100. PMID: 36814196, PMCID: PMC9945392, DOI: 10.1186/s12872-023-03067-4.Peer-Reviewed Original ResearchConceptsClinically relevant non-major bleedingNon-Vitamin K Antagonist Oral AnticoagulantsVitamin K antagonistsMorbidly obese patientsRecurrent venous thromboembolismObese patientsVenous thromboembolismFactor Xa inhibitorsK antagonistsXa inhibitorsTreating morbidly obese patientsVitamin K antagonist groupNon-major bleedingMeta-analysisTreat venous thromboembolismMeta-analysis of studiesHigh-risk populationAssociated with lower oddsRandomized Controlled TrialsOral anticoagulantsGoogle Scholar databasesMorbid obesityNo significant differenceLandmark trialsAtrial fibrillation
2022
Operative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients
Rankin KA, Gibson D, Schwarzkopf R, O’Connor M, Wiznia DH. Operative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients. Arthroplasty Today 2022, 17: 120-125. PMID: 36082285, PMCID: PMC9445224, DOI: 10.1016/j.artd.2022.07.016.Peer-Reviewed Original ResearchTotal joint arthroplastyBody mass indexObese patientsMorbidly obese patientsPatient selection criteriaPostoperative complicationsMass indexObese populationArthroplasty complicationsFunctional outcomeJoint arthroplastyOperative techniquePostoperative considerationsHigh riskKnee surgeonsLife metricsOrthopaedic surgeonsPatientsSurgeonsComplicationsHipRiskAmerican AssociationComprehensive literature reviewLiterature reviewFactor Xa Inhibitors Versus Vitamin K Antagonist in Morbidly Obese Patients With Venous Thromboembolism: A Systematic Review and Meta-Analysis
Park D, An S, Arif A, Vij A. Factor Xa Inhibitors Versus Vitamin K Antagonist in Morbidly Obese Patients With Venous Thromboembolism: A Systematic Review and Meta-Analysis. Cardiovascular Revascularization Medicine 2022, 40: 82-83. DOI: 10.1016/j.carrev.2022.06.184.Peer-Reviewed Original ResearchCRT-500.16 Factor Xa Inhibitors Versus Vitamin K Antagonist in Morbidly Obese Patients With Venous Thromboembolism: A Systematic Review and Meta-Analysis
Park D, An S, Arif A, Vij A. CRT-500.16 Factor Xa Inhibitors Versus Vitamin K Antagonist in Morbidly Obese Patients With Venous Thromboembolism: A Systematic Review and Meta-Analysis. JACC Cardiovascular Interventions 2022, 15: s49. DOI: 10.1016/j.jcin.2022.01.203.Peer-Reviewed Original Research
2020
Safety of Bariatric Surgery in Morbidly Obese Patients with Human Immunodeficiency Virus: A Nationwide Inpatient Sample Analysis, 2004–2014
McCarty TR, Sharma P, Lange A, Ngu JN, Davis A, Njei B. Safety of Bariatric Surgery in Morbidly Obese Patients with Human Immunodeficiency Virus: A Nationwide Inpatient Sample Analysis, 2004–2014. Bariatric Surgical Practice And Patient Care 2020, 15: 116-123. PMID: 32939330, PMCID: PMC7488204, DOI: 10.1089/bari.2019.0065.Peer-Reviewed Original ResearchHIV-positive patientsMorbidly obese patientsBariatric surgeryHuman immunodeficiency virusHospital mortalityMorbid obesityPostoperative complicationsObese patientsSurgical complicationsImmunodeficiency virusU.S. Nationwide Inpatient Sample (NIS) databaseNationwide Inpatient Sample databaseHospital postoperative complicationsTolerability of surgeryLength of stayRates of obesityPostoperative pneumoniaHIV patientsSystemic complicationsRenal failureSecondary outcomesPrimary outcomeMultivariable analysisDischarge diagnosisHospitalization costsUnderweight patients are at just as much risk as super morbidly obese patients when undergoing anterior cervical spine surgery
Ottesen TD, Malpani R, Galivanche AR, Zogg CK, Varthi AG, Grauer JN. Underweight patients are at just as much risk as super morbidly obese patients when undergoing anterior cervical spine surgery. The Spine Journal 2020, 20: 1085-1095. PMID: 32194246, PMCID: PMC7380546, DOI: 10.1016/j.spinee.2020.03.007.Peer-Reviewed Original ResearchConceptsAnterior cervical spine surgeryBody mass indexCervical spine surgeryNational Surgical Quality Improvement Program databaseSuper morbidly obese patientsQuality Improvement Program databaseWorld Health Organization categoriesMorbidly obese patientsImprovement Program databaseObese patientsAdverse eventsAdverse outcomesSpine surgeryUnderweight patientsPostoperative infectionProgram databaseSurgeons National Surgical Quality Improvement Program databaseMultivariate analysisAnterior cervical spine proceduresOverweight/obese categoriesThirty-day adverse eventsHigher Body Mass IndexLower body mass indexAdverse outcome categoriesNormal BMI patients
2019
Challenges of Robotic Gynecologic Surgery in Morbidly Obese Patients and How to Optimize Success
Menderes G, Gysler SM, Vadivelu N, Silasi DA. Challenges of Robotic Gynecologic Surgery in Morbidly Obese Patients and How to Optimize Success. Current Pain And Headache Reports 2019, 23: 51. PMID: 31263977, DOI: 10.1007/s11916-019-0788-7.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsObese patientsGynecologic surgeryRobotic gynecologic surgeryPerioperative riskRobotic surgeryInvasive approachInvasive surgeryAdequate preoperative optimizationMorbidly obese patientsNon-obese counterpartsUse of laparoscopyIncidence of mortalityGynecologic patientsPerioperative complicationsPreoperative optimizationPerioperative managementLaparoscopic approachObese populationOpen surgeryPostoperative managementHeart diseaseExtreme BMIPatientsSurgeryPhysiologic adaptations
2018
Bariatric Surgery and Hepatocellular Carcinoma: a Propensity Score-Matched Analysis
Njei B, McCarty TR, Sharma P, Lange A, Najafian N, Ngu JN, Ngomba VE, Echouffo-Tcheugui JB. Bariatric Surgery and Hepatocellular Carcinoma: a Propensity Score-Matched Analysis. Obesity Surgery 2018, 28: 3880-3889. PMID: 30069863, PMCID: PMC6219901, DOI: 10.1007/s11695-018-3431-5.Peer-Reviewed Original ResearchConceptsBariatric surgeryHepatocellular carcinomaPrevalence ratiosOdds ratioLow prevalenceUnited States Nationwide Inpatient Sample databaseNationwide Inpatient Sample databaseOccurrence of HCCPropensity scorePrior bariatric surgeryHospital mortality rateMorbidly obese patientsAge-adjusted prevalenceMortality odds ratioRisk of deathLength of stayCross-sectional associationsHospital mortalityMorbid obesityBaseline characteristicsObese patientsSecondary outcomesBackgroundThe associationPrimary outcomePatient mortalityOutcome After Operation for Aortic Dissection Type A in Morbidly Obese Patients
Kreibich M, Rylski B, Bavaria JE, Branchetti E, Dohle D, Moeller P, Vallabhajosyula P, Szeto WY, Desai ND. Outcome After Operation for Aortic Dissection Type A in Morbidly Obese Patients. The Annals Of Thoracic Surgery 2018, 106: 491-497. PMID: 29673638, DOI: 10.1016/j.athoracsur.2018.03.035.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAortic AneurysmAortic DissectionBody Mass IndexBody WeightCohort StudiesComorbidityFemaleHospital MortalityHumansLogistic ModelsMaleMiddle AgedObesity, MorbidOdds RatioPostoperative ComplicationsPrognosisReference ValuesRetrospective StudiesRisk AssessmentSurvival AnalysisTreatment OutcomeConceptsAortic dissection type AMorbidly obese patientsNormal weight patientsObese patientsSurgical repairWeight patientsDistal aortic repairImmediate surgical approachMore obese patientsCalculated blood volumeBody mass indexIntensive care unitLength of stayType AHospital mortalityHospital stayPostoperative complicationsAortic repairPostoperative outcomesCare unitClinical featuresClinical presentationMass indexNormal weightAdverse outcomesImpact of bariatric surgery on outcomes of patients with celiac disease: a nationwide inpatient sample analysis, 2004-2014
Sharma P, McCarty TR, Lange A, Ngu JN, Njei B. Impact of bariatric surgery on outcomes of patients with celiac disease: a nationwide inpatient sample analysis, 2004-2014. Annals Of Gastroenterology 2018, 32: 73-80. PMID: 30598595, PMCID: PMC6302198, DOI: 10.20524/aog.2018.0323.Peer-Reviewed Original ResearchBariatric surgeryUrinary tract infectionIncidence risk ratioCeliac diseaseMorbid obesityRespiratory failureRenal failureTract infectionsClinical outcomesUnited States Nationwide Inpatient Sample databaseNationwide Inpatient Sample AnalysisNationwide Inpatient Sample databasePrior bariatric surgeryMorbidly obese patientsOutcomes of patientsVitamin D deficiencyLength of stayPost-operative stricturesCeliac disease patientsHospital mortalityD deficiencyThromboembolic eventsObese patientsSecondary outcomesHospitalized patients
2017
A Nasal Ventilation Mask for a Morbidly Obese Patient with OSA and Atrial Fibrillation undergoing Cardioversion
Kozinn R, Kim J, Kwan L, Feinleib J. A Nasal Ventilation Mask for a Morbidly Obese Patient with OSA and Atrial Fibrillation undergoing Cardioversion. Journal Of Cardiothoracic And Vascular Anesthesia 2017, 32: 945-947. PMID: 29336970, DOI: 10.1053/j.jvca.2017.05.040.Peer-Reviewed Original Research
2016
Percutaneous endovascular aneurysm repair in morbidly obese patients
Chin JA, Skrip L, Sumpio BE, Cardella JA, Indes JE, Sarac TP, Dardik A, Chaar C. Percutaneous endovascular aneurysm repair in morbidly obese patients. Journal Of Vascular Surgery 2016, 65: 643-650.e1. PMID: 28034584, DOI: 10.1016/j.jvs.2016.06.115.Peer-Reviewed Original ResearchMeSH KeywordsAdultAneurysmCatheterization, PeripheralChi-Square DistributionDatabases, FactualEndovascular ProceduresFemaleFemoral ArteryHumansMaleMiddle AgedObesity, MorbidOperative TimePostoperative ComplicationsPuncturesRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUnited StatesWound HealingConceptsEndovascular aneurysm repairMO patientsSuperobese patientsObese patientsAneurysm repairSurgical outcomesSevere chronic obstructive pulmonary diseaseShorter total operation timeTotal endovascular aneurysm repairChronic obstructive pulmonary diseasePercutaneous endovascular aneurysm repairSurgeons National Surgical Quality Improvement Program filesMorbidly obese patientsObstructive pulmonary diseaseSimilar baseline characteristicsPercutaneous femoral accessCurrent Procedural TerminologyPEVAR groupBaseline comorbiditiesWound complicationsBaseline characteristicsFemoral accessPulmonary diseaseTotal operation timeFemoral cutdown
2014
Anesthetic Considerations
Lemmens H, Morton J. Anesthetic Considerations. 2014, 85-96. DOI: 10.1007/978-1-4939-1206-3_8.Peer-Reviewed Original ResearchIncreasing Access to Specialty Surgical Care
Leroux EJ, Morton JM, Rivas H. Increasing Access to Specialty Surgical Care. Annals Of Surgery 2014, 260: 274-278. PMID: 24743608, DOI: 10.1097/sla.0000000000000656.Peer-Reviewed Original ResearchConceptsQuality-adjusted life yearsCases of cureSurgical careEffective long-term weight loss strategyRoutine long-term followType 2 diabetes mellitusRoutine postoperative careMorbidly obese patientsCases of remissionWeight loss surgeryLong-term followObstructive sleep apneaWeight loss strategiesHealth care professionalsAncillary health care professionalsPublic health impactPublic health benefitsBariatric centerUntreated patientsBariatric surgeryObese patientsDiabetes mellitusPostoperative careSleep apneaSurgical proceduresMorbid obesity predisposes trauma patients to worse outcomes
Ditillo M, Pandit V, Rhee P, Aziz H, Hadeed S, Bhattacharya B, Friese RS, Davis K, Joseph B. Morbid obesity predisposes trauma patients to worse outcomes. Journal Of Trauma And Acute Care Surgery 2014, 76: 176-179. PMID: 24368375, DOI: 10.1097/ta.0b013e3182ab0d7c.Peer-Reviewed Original ResearchConceptsBlunt traumatic injuryMorbidly obese patientsInjury Severity ScoreObese patientsGlasgow Coma ScaleHospital complicationsMorbid obesityTraumatic injuryNonobese patientsTrauma patientsIntensive care unit stayNational Trauma Data BankBlunt trauma patientsLonger hospital stayImpact of obesitySystolic blood pressureOverall mortality rateTrauma Data BankInjury prevention effortsConsequences of obesityTraumatic brain injuryUnit stayHospital staySecondary outcomesBlood pressure
2013
Orthopedic trauma surgery in the morbidly obese patient
Bozzio A, Gala R, Villasenor M, Hao J, Mauffrey C. Orthopedic trauma surgery in the morbidly obese patient. European Journal Of Orthopaedic Surgery & Traumatology 2013, 24: 421-425. PMID: 23608970, DOI: 10.1007/s00590-013-1220-3.Peer-Reviewed Original ResearchConceptsMorbidly obese patientsIntra-operative strategiesObese patientsPre-operative planningTreatment of morbidly obese patientsNormal body mass indexPrevalence of morbid obesityPeri-operative issuesBody mass indexMedical co-morbiditiesOrthopedic trauma surgeryOrthopedic injuriesMorbid obesityPurposeThe treatmentMass indexTreatment strategiesConclusionThe prevalenceCo-morbiditiesX-ray techniciansInjured patientsOccupational therapistsPatientsOrthopedic traumaStable fixationTrauma surgeryRobotic Versus Abdominal Hysterectomy for Very Large Uteri
Silasi DA, Gallo T, Silasi M, Menderes G, Azodi M. Robotic Versus Abdominal Hysterectomy for Very Large Uteri. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2013, 17: 400-406. PMID: 24018076, PMCID: PMC3771758, DOI: 10.4293/108680813x13693422521755.Peer-Reviewed Original ResearchConceptsBody mass indexLaparotomy groupUteri weighingRobotic groupBlood lossUterine weightOperative timeMass indexMedian body mass indexRobotic surgeryLaparotomy control groupLarge myomatous uterusMedian blood lossMedian uterine weightIntraoperative blood lossMedian operating timeMorbidly obese patientsOutcomes of patientsPostoperative day 1Shorter hospital stayRetrospective chart reviewUnderwent hysterectomyAbdominal hysterectomyHospital stayMedian hospital
2012
Insulin resistance is associated with elevated serum pigment epithelium–derived factor (PEDF) levels in morbidly obese patients
Gattu AK, Birkenfeld AL, Jornayvaz F, Dziura J, Li F, Crawford SE, Chu X, Still CD, Gerhard GS, Chung C, Samuel V. Insulin resistance is associated with elevated serum pigment epithelium–derived factor (PEDF) levels in morbidly obese patients. Acta Diabetologica 2012, 49: 161-169. PMID: 22547263, DOI: 10.1007/s00592-012-0397-y.Peer-Reviewed Original ResearchConceptsPigment epithelium-derived factorMorbidly obese patientsPEDF levelsInsulin resistanceDiabetes mellitusHigh glucose mediumObese patientsSerum pigment epithelium-derived factor (PEDF) levelsPigment epithelium-derived factor levelsSerum pigment epithelium-derived factorHomeostasis model assessment scoreCounter-regulatory factorsSerum PEDF concentrationGastric bypass surgeryHuman hepatocytesSignificant risk factorsModel assessment scoreSerum PEDF levelsEpithelium-derived factorPrimary human hepatocytesHOMA scorePEDF concentrationDiabetes medicationsGastric bypassIR patients
2007
Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery
Schuster R, Hagedorn JC, Curet MJ, Morton JM. Retrievable inferior vena cava filters may be safely applied in gastric bypass surgery. Surgical Endoscopy 2007, 21: 2277-2279. PMID: 17440780, DOI: 10.1007/s00464-007-9370-1.Peer-Reviewed Original ResearchConceptsIVC filter placementDeep venous thrombosisGastric bypass surgeryBody mass indexInferior vena cava filterVena cava filtersFilter placementBypass surgeryIVC filter retrievalObese patientsCava filtersFilter retrievalProphylactic inferior vena cava filtersAverage body mass indexRetrievable inferior vena cava filtersFatal postoperative complicationsMorbidly obese patientsGastric bypass patientsIVC filter insertionVenous stasis diseaseRetrievable IVC filtersPreoperative insertionGastric bypassPostoperative complicationsBypass patients
2005
Incidental Finding of Gastrointestinal Stromal Tumors (GISTs) during Laparoscopic Gastric Bypass
Sanchez B, Morton J, Curet M, Alami R, Safadi B. Incidental Finding of Gastrointestinal Stromal Tumors (GISTs) during Laparoscopic Gastric Bypass. Obesity Surgery 2005, 15: 1384-1388. PMID: 16354516, DOI: 10.1381/096089205774859326.Peer-Reviewed Original ResearchConceptsGastrointestinal stromal tumorsGastric gastrointestinal stromal tumorsMorbidly obese patientsGastric bypassObese patientsStromal tumorsMalignant behaviorConsecutive morbidly obese patientsGastric pouch formationIncidental intraoperative findingGastric bypass surgeryLaparoscopic gastric bypassAsymptomatic patientsLaparoscopic RouxBypass surgeryCase seriesIntraoperative findingsRetrospective reviewRare tumorIncidental findingAnterior aspectWedge excisionBenign tumorsImmunohistochemical analysisPouch formation
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