Published in Annals of surgery
The objectives of the current study were 2-fold: first, to evaluate the incidence and time to recovery of premorbid function within 6 months of major surgery and second, to identify factors associated with functional recovery among older persons who survive a major surgery with increased disability. Most older persons would not choose a surgical tr...
Published in Annals of surgery
To evaluate whether pregnancy is associated with increased risk for small bowel obstruction after laparoscopic gastric bypass surgery. Small bowel obstruction is a common and feared long-term complication to laparoscopic gastric bypass surgery that may be more common during pregnancy. It is unclear if the risk truly increases during pregnancy. Wome...
Published in Annals of surgery
Evaluate outcomes of patients undergoing mesh explantation following partial mesh excision (PME) and complete mesh excision (CME). Ventral hernia repair (VHR) with mesh remains one of the most commonly performed procedures worldwide. Management of previously placed mesh during reexploration remains unclear. Studies describing PME as a feasible alte...
Published in Annals of surgery
To perform a structured systematic review and meta-analysis to evaluate changes in ghrelin, glucagon-like peptide-1 (GLP-1), peptide YY (PYY), and gastric inhibitory peptide (GIP) gut hormone levels in patients after sleeve gastrectomy. Despite sleeve gastrectomy becoming the most common surgical weight loss procedure, weight loss mechanisms remain...
Published in Annals of surgery
Review the long-term outcomes of the side-to-side isoperistaltic strictureplasty (SSIS) and its effects on bowel preservation in Crohn disease (CD). The first SSIS was performed 25 years ago as an alternative to resection in the treatment of extensive fibrostenosing jejuno-ileal CD. Prospective study (January 1992-December 2016) of all patients wit...
Published in Annals of surgery
To characterize opioid discharge prescriptions for pancreatectomy patients. Wide variation in and over-prescription of opioids after surgery contribute to the United States opioid epidemic through persistent use past the postoperative period. Objective strategies guiding discharge opioid prescriptions for oncologic surgery are lacking, and factors ...
Published in Annals of surgery
We sought to describe the differences in health care spending and utilization among patients who develop persistent postoperative opioid use. Although persistent opioid use following surgery has garnered concern, its impact on health care costs and utilization remains unknown. We examined insurance claims among 133,439 opioid-naive adults undergoin...
Published in Annals of surgery
To improve understanding of sex differences in clinicopathologic characteristics, treatment and outcomes between male and female patients undergoing esophagectomy for esophageal cancer. Esophageal cancer is a male predominant disease, and sex has not been considered in previous studies as an important factor in diagnosis or management. Sex differen...
Published in Annals of surgery
To assess the readiness of entering residents for clinical responsibilities, the American College of Surgeons (ACS) Division of Education developed the "Entering Resident Readiness Assessment" (ACS-ERRA) Program. ACS-ERRA is an online formative assessment that uses a key features approach to measure clinical decision-making skills and focuses on ca...
Published in Annals of surgery
This prospective randomized phase-II trial examined whether gastric reconstruction with duodenal diversion plus Roux-en-Y anastomosis(RY) minimized gastroduodenal reflux and delayed gastric emptying compared with standard gastric reconstruction. There is no established standard surgical procedure to prevent both gastroduodenal reflux and delayed ga...
