2022
Beyond 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
Bariatric-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
The National Shift to Sleeve Gastrectomy: Long-Term Disappointment and Recidivism or Patient Preference?
Zhou R, Morton J. The National Shift to Sleeve Gastrectomy: Long-Term Disappointment and Recidivism or Patient Preference? Difficult Decisions In Surgery: An Evidence-Based Approach 2020, 231-246. DOI: 10.1007/978-3-030-55329-6_22.Peer-Reviewed Original ResearchSleeve gastrectomyGastric bypassDiabetes mellitusLaparoscopic sleeve gastrectomyLong-term outcomesAdvanced obesityLaparoscopic RouxBariatric proceduresBariatric surgeryDisease resolutionWeight recidivismPatient preferencesPrimary procedureGastrectomyAmerican SocietyMellitusRouxObesityPatientsSurgeryBypassAvailable data
2019
Preoperative weight loss: is waiting longer before bariatric surgery more effective?
Eng V, Garcia L, Khoury H, Morton J, Azagury D. Preoperative weight loss: is waiting longer before bariatric surgery more effective? Surgery For Obesity And Related Diseases 2019, 15: 951-957. PMID: 31104959, DOI: 10.1016/j.soard.2019.03.012.Peer-Reviewed Original ResearchConceptsBody mass indexWeight lossBariatric surgeryMass indexConsultation visitSupervised weight loss programAverage body mass indexPreoperative wait timeSleeve gastrectomy patientsGastric bypass patientsPostoperative weight lossRate of complicationsDelay of treatmentWeight loss programSingle academic institutionInitial consultation visitAdverse surgical eventsSignificant long-term benefitWait timePreoperative percentageGastrectomy patientsGastric bypassLaparoscopic RouxBypass patientsAdverse eventsThe 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 DatabaseHeterogeneity of weight loss after gastric bypass, sleeve gastrectomy, and adjustable gastric banding
Azagury D, Mokhtari TE, Garcia L, Rosas US, Garg T, Rivas H, Morton J. Heterogeneity of weight loss after gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Surgery 2018, 165: 565-570. PMID: 30316577, DOI: 10.1016/j.surg.2018.08.023.Peer-Reviewed Original ResearchConceptsLaparoscopic adjustable gastric bandingPercent excess weight lossAdjustable gastric bandingExcess weight lossLaparoscopic sleeve gastrectomySuccessful treatment effectGastric bandingLaparoscopic RouxGastric bypassSleeve gastrectomyOdds ratioWeight lossTreatment effectsMean percent excess weight lossLong-term weight lossLaparoscopic adjustable gastricBody mass indexSingle academic institutionSubstantial weight lossAdjustable gastricPostoperative BMIBariatric proceduresObese patientsConsecutive patientsMass indexSurgical Outcomes after Laparoscopic Sleeve Gastrectomy and Gastric Bypass: Findings from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)
Garcia L, Azagury D, Rivas H, Morton J. Surgical Outcomes after Laparoscopic Sleeve Gastrectomy and Gastric Bypass: Findings from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). Journal Of The American College Of Surgeons 2018, 227: s28. DOI: 10.1016/j.jamcollsurg.2018.07.023.Peer-Reviewed Original ResearchWhich 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
American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016
English WJ, DeMaria EJ, Brethauer SA, Mattar SG, Rosenthal RJ, Morton JM. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016. Surgery For Obesity And Related Diseases 2017, 14: 259-263. PMID: 29370995, DOI: 10.1016/j.soard.2017.12.013.Peer-Reviewed Original ResearchConceptsBariatric proceduresQuality Improvement ProgramBariatric surgeryNational Surgical Quality Improvement ProgramBariatric Outcomes Longitudinal DatabaseSurgical Quality Improvement ProgramIntragastric balloon placementBariatric Surgery AccreditationObesity treatment interventionsNationwide Inpatient SampleDuodenal switch procedureAmerican SocietyNumber of proceduresMorbid obesityBiliopancreatic diversionGastric bypassAppropriate therapyUndergo surgeryBalloon placementInpatient SampleOutpatient centerSwitch procedureRevision proceduresTreatment interventionsSurgerySurgical Anti-Reflux Options Beyond Fundoplication
Azagury D, Morton J. Surgical Anti-Reflux Options Beyond Fundoplication. Current Gastroenterology Reports 2017, 19: 35. PMID: 28725999, DOI: 10.1007/s11894-017-0582-9.Peer-Reviewed Original ResearchConceptsGastroesophageal reflux diseaseSurgical managementEffective surgical optionMagnetic sphincter augmentationFuture surgical interventionGastric bypassReflux diseaseSphincter augmentationSymptom recurrenceGas bloatingMedical therapySurgical optionsSurgical interventionPotential complicationsCurrent indicationsSurgical proceduresPrior interventionsFundoplicationElectrical stimulationReviewThis paperInterventionOptionsIndicationsDysphagiaRouxComparative effectiveness of primary bariatric operations in the United States
Sudan R, Maciejewski ML, Wilk AR, Nguyen NT, Ponce J, Morton JM. Comparative effectiveness of primary bariatric operations in the United States. Surgery For Obesity And Related Diseases 2017, 13: 826-834. PMID: 28236529, DOI: 10.1016/j.soard.2017.01.021.Peer-Reviewed Original ResearchConceptsBPD/DSPrimary bariatric operationsBariatric surgery centerBariatric operationsAdverse eventsSurgery centersBody mass index unitWeight lossCo-morbidity resolutionMore adverse eventsMultiple surgical centersSerious adverse eventsType 2 diabetesGreater weight lossLarge multisite cohortCurrent bariatric operationsT2D resolutionComorbidity resolutionBaseline characteristicsGastric bypassDuodenal switchSurgical centersInverse probability weightingMultisite cohortOdds ratioButtressing 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 dataLRYGBDaysGastrectomyRouxStayBariatric Surgery Overview of Procedures and Outcomes
Azagury DE, Morton JM. Bariatric Surgery Overview of Procedures and Outcomes. Endocrinology And Metabolism Clinics Of North America 2016, 45: 647-656. PMID: 27519136, DOI: 10.1016/j.ecl.2016.04.013.Peer-Reviewed Original ResearchConceptsBariatric surgeryType 2 diabetic patientsWeight loss therapyMultiple randomized control trialsDiabetes-related mortalityAdvent of laparoscopyRandomized control trialGastric bypassDiabetic patientsLoss therapyObservational studyControl trialMortality ratePatientsSurgeryRemissionBMIDiabetesLaparoscopyBypassTherapyMortalityTrialsA123 Buttressing of the EEA Stapler During Gastrojejunal Anastomosis Decreases Complications for Laparoscopic Gastric Bypass
Ichter Z, Voller L, Esparza O, Azagury D, Rivas H, Morton J. A123 Buttressing of the EEA Stapler During Gastrojejunal Anastomosis Decreases Complications for Laparoscopic Gastric Bypass. Surgery For Obesity And Related Diseases 2016, 12: s15-s16. DOI: 10.1016/j.soard.2016.08.052.Peer-Reviewed Original ResearchBariatric Surgery Outcomes in US Accredited vs Non-Accredited Centers: A Systematic Review
Azagury D, Morton JM. Bariatric Surgery Outcomes in US Accredited vs Non-Accredited Centers: A Systematic Review. Journal Of The American College Of Surgeons 2016, 223: 469-477. PMID: 27423398, DOI: 10.1016/j.jamcollsurg.2016.06.014.Peer-Reviewed Original ResearchConceptsNon-accredited centersBariatric surgerySurgical outcomesOdds ratioAdjustable gastric bandBariatric surgery outcomesWeight loss surgeryVertical banded gastroplastyNewcastle-Ottawa ScaleRisk-adjusted outcomesCenters of excellenceBiliopancreatic diversionGastric bandGastric bypassDuodenal switchSurgery outcomesNational coverage decisionPRISMA guidelinesMEDLINE databaseSurgerySystematic reviewMedical literatureBariatric AccreditationMedical evidenceExcellence accreditationNational 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