2017
Buttressing 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
Characterizing 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 dataLRYGBDaysGastrectomyRouxStayGeographic variation in surgical outcomes and cost between the United States and Japan.
Hurley MP, Schoemaker L, Morton JM, Wren SM, Vogt WB, Watanabe S, Yoshikawa A, Bhattacharya J. Geographic variation in surgical outcomes and cost between the United States and Japan. The American Journal Of Managed Care 2016, 22: 600-7. PMID: 27662222.Peer-Reviewed Original Research
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
Hospital readmission after a pancreaticoduodenectomy: an emerging quality metric?
Kastenberg ZJ, Morton JM, Visser BC, Norton JA, Poultsides GA. Hospital readmission after a pancreaticoduodenectomy: an emerging quality metric? Hepato Pancreato Biliary 2012, 15: 142-148. PMID: 23297725, PMCID: PMC3719921, DOI: 10.1111/j.1477-2574.2012.00563.x.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal AbscessAgedCaliforniaCohort StudiesFemaleFollow-Up StudiesHospital MortalityHospitals, UniversityHumansIncidenceLength of StayMaleMiddle AgedPancreatic DiseasesPancreatic FistulaPancreaticoduodenectomyPatient DischargePatient ReadmissionRetrospective StudiesRisk FactorsSurgical Wound InfectionSurvival RateTreatment OutcomeConceptsHospital readmissionPatterns of rehospitalizationSuperficial wound infectionDays of dischargePost-operative complicationsLength of stayNursing/rehabilitation facilityAcademic medical centerHealth care servicesDiet intoleranceFistula/Consecutive patientsWound infectionOutpatient settingDiagnostic evaluationPancreaticoduodenectomyBenign diagnosisMedical CenterReadmissionCommon reasonRehabilitation facilityCare servicesPatientsMeasures of qualityOne-fifthLaparoscopic 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 length
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 characteristicsRetinopathy of prematurity in the United States
Lad E, Nguyen T, Morton J, Moshfeghi D. Retinopathy of prematurity in the United States. British Journal Of Ophthalmology 2008, 92: 320. PMID: 18303153, DOI: 10.1136/bjo.2007.126201.Peer-Reviewed Original ResearchConceptsDevelopment of ROPIntraventricular hemorrhageUS hospital dischargesIncidence of retinopathyRespiratory distress syndromeRetinopathy of prematurityNational Inpatient SamplePrimary outcome variableMultivariate logistic regressionHospitalisation chargesHospital lengthBaseline characteristicsHospital dischargeDistress syndromePremature infantsRespiratory distressHispanic raceHospital chargesSurgical interventionBirth weightHispanic infantsTotal incidenceInpatient SampleRisk factorsNewborn infants
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 centersAbnormal Findings on Routine Upper GI Series following Laparoscopic Roux-en-Y Gastric Bypass
Raman R, Raman B, Raman P, Rossiter S, Curet MJ, Mindelzun R, Morton JM. Abnormal Findings on Routine Upper GI Series following Laparoscopic Roux-en-Y Gastric Bypass. Obesity Surgery 2007, 17: 311-316. PMID: 17546837, DOI: 10.1007/s11695-007-9057-7.Peer-Reviewed Original ResearchConceptsUpper GI seriesGastric bypassGI seriesLaparoscopic RouxAbnormal findingsRoutine upper GI seriesMean age 43 yearsPostoperative day 1Y Gastric BypassAge 43 yearsFirst postoperative daySingle academic institutionGastrojejunal anastomotic leakOperative demographicsDilated loopsAnastomotic leakPostoperative dayOral intakePostoperative careBariatric surgeonsComplete obstructionLarge bowelMinor abnormalitiesDay 1Additional procedures
2005
Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass
Sanchez B, Mohr C, Morton J, Safadi B, Alami R, Curet M. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surgery For Obesity And Related Diseases 2005, 1: 549-554. PMID: 16925289, DOI: 10.1016/j.soard.2005.08.008.Peer-Reviewed Original ResearchConceptsBody mass indexGastric bypassLaparoscopic RouxLength of stayDaVinci Surgical SystemComplication rateLarger body mass indexSignificant differencesLaparoscopic gastric bypassMean operating timeSurgical systemSurgeon's learning curveOperating room timeT-testSingle surgeon's resultsLearning curveStudent's t-testPatient ageOperative timeMass indexSurgeon experienceProcedure timeRoom timeSurgeon's resultsRouxA national comparison of surgical versus percutaneous drainage of pancreatic pseudocysts: 1997–2001
Morton JM, Brown A, Galanko JA, Norton JA, Grimm IS, Behrns KE. A national comparison of surgical versus percutaneous drainage of pancreatic pseudocysts: 1997–2001. Journal Of Gastrointestinal Surgery 2005, 9: 15-21. PMID: 15623440, DOI: 10.1016/j.gassur.2004.10.005.Peer-Reviewed Original ResearchConceptsPercutaneous drainageLength of staySurgical approachPancreatic pseudocystICD-9 procedure codesDisease-specific severityNational Inpatient SamplePopulation-based studyCase series resultsEndoscopic retrograde cholangiopancreatographyRisk of mortalityLogistic regression modelsHospital dischargeInpatient mortalitySurgical drainageRetrograde cholangiopancreatographyInpatient SampleProtective effectChi2 analysisSurgical advantagesConfounding variablesMortalityPseudocystIllness differencesNational outcomes
2004
Introducing laparoscopic Roux-en-Y gastric bypass at a Veterans Affairs medical facility
Safadi B, Kieran J, Hall R, Morton J, Bellatorre N, Shinoda E, Johnson P, Curet M, Wren S. Introducing laparoscopic Roux-en-Y gastric bypass at a Veterans Affairs medical facility. The American Journal Of Surgery 2004, 188: 606-610. PMID: 15546580, DOI: 10.1016/j.amjsurg.2004.07.021.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnastomosis, Roux-en-YChi-Square DistributionCohort StudiesFemaleFollow-Up StudiesGastric BypassHospitals, VeteransHumansLaparoscopyLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresObesity, MorbidPostoperative ComplicationsProbabilityRetrospective StudiesRisk AssessmentTreatment OutcomeWeight LossConceptsBody mass indexBariatric surgeryMorbid obesityLaparoscopic RYGBGastric bypassLaparoscopic RouxDiabetes mellitusVeterans Affairs Health Care SystemPercent excess weight lossAverage body mass indexGood short-term resultsVA patient populationExcess weight lossObstructive sleep apneaVeterans Affairs medical facilitiesShort-term resultsHealth care systemPreoperative comorbiditiesAcceptable morbidityHospital stayMean followLate complicationsImmediate complicationsRetrospective reviewFemale patients