VOLUME 20 NUMBER 1 JANUARY 2024

THE OFFICIAL JOURNAL OF THE AMERICAN SOCIETY

FOR METABOLIC AND BARIATRIC SURGERY
and the BRAZILIAN SOCIETY FOR BARIATRIC SURGERY

John Dixon, [Link]., Ph.D. Shanu N Kothari, M.D. Erik Naslund, M.D.
EDITOR-IN-CHIEF Adjunct Professor Iverson Health Chief Medical Affairs, Prisma Health Karolinska Institute
Innovation Research Institute Greenville, NC, USA Stockholm, Sweden
Raul J Rosenthal, M.D., F.A.C.S., F.A.S.M.B.S.,
Swinburne University of Technol- Teresa LaMasters, M.D., F.A.C.S., Robert W O’Rourke, M.D.
M.A.M.S.E.
ogy and Adjunct Professor School F.A.S.M.B.S., D.A.B.O.M. University of Michigan
Cleveland Clinic Florida
of Primary Health Care Monash Clinical Adjunct Faculty University of Ann Arbor, MI, USA
Weston, FL
University Iowa Department of Surgery David Provost, M.D.
Melbourne, Australia West Des Moines, IA, USA Dallas, TX, USA
SECTION EDITORS Jonathan Finks, M.D. Edward Lin, D.O., M.B.A. Ann Rogers, M.D.
University of Michigan Emory University Penn State Milton S Hershey Medical
Continuing Medical Education Editor Ann Arbor, MI, USA
Samer G Mattar, M.D. Atlanta, GA, USA Center
R. Armour Forse, M.D. Emanuele Lo Menzo, M.D., Ph.D. Hershey, PA, USA
Baylor College of Medicine
Doctor’s Hospital at Renaissance Cleveland Clinic Florida Mitchell Roslin, M.D.
Houston, Texas, USA
Edinburg, TX, USA Weston, FL, USA Lennox Hill Medical Center
Case Report Editor Leslie J Heinberg, Ph.D. New York, NY, USA
Ryan J. Marek Ph.D.
Michel M Murr, M.D. The Cleveland Clinic SHSU College of Osteopathic Medicine Leah M Schumacher, Ph.D.
Bariatric and Metabolic Institute, AdventHealth Cleveland, OH, USA Conroe, Texas, USA Temple University College of Public
Tampa, FL, USA Daniel M. Herron, M.D. Matthew Jeffrey Martin, M.D. Health
Social Media Editor Mount Sinai Hospital Los Angeles County and University of Philadelphia, PA, USA
Richard M. Peterson, M.D. New York, NY, USA Southern California Medical Center Dana Telem, M.D.
University of Texas Health Science Center Matthew M. Hutter, M.D. Los Angeles, CA, USA University of Michigan
San Antonio, TX, USA Massachussetts General Hospital Marc Michalsky, M.D., F.A.A.P. Ann Arbor, MI, USA
Social Media Associate Editor Harvard University Nationwide Children’s Hospital Meg H. Zeller, Ph.D.
Neil Floch, M.D. Boston, MA, USA Columbus, OH, USA Cincinnati Children’s Hospital
Norwalk Hospital Thomas Inge, M.D. Alex Miras, M.D. Medical Center
Norwalk, CT Lurie Children’s Hospital of Chicago, Imperial College Cincinnati, OH, USA
Creative Director: Visual Abstracts Chicago, IL, USA London, England, UK
Arghavan Salles, M.D.
Washington University School of Medicine EDITORIAL BOARD
St. Louis, MO, USA
Poppy Addison, M.D. Bipan Chand, M.D., F.A.S.G.E. Christopher DuCoin, M.D., M.P.H.,
Lenox Hill Hospital Loyola University Medical Center F.A.S.M.B.S., F.A.C.S.
MANAGING EDITOR New York, NY, USA Maywood, IL, USA University of South Florida, Tampa,
Vance L. Albaugh, M.D., Ph.D. Nicolas Christou, M.D. Florida, USA
David Newcombe Pennington Biomedical Research McGill University Michael A. Edwards, M.D., F.A.C.S.,
Stellar Medical Publications Center of Louisiana State Montreal, Canada F.A.S.M.B.S.
Plymouth, MA, USA University Mayo Clinic
Baton Rouge, Louisiana, USA Benjamin Clapp, M.D.
Jacksonville, FL, United States
Clinical Assistant Professor of Surgery
ASSOCIATE EDITORS Maria S. Altieri, M.D., M.S.
East Carolina University
at Texas Tech HSC Paul Foster George Eid, M.D.
School of Medicine Allegheny Health Network
Mohamed R Ali, M.D. Greenville, NC, USA Pittsburgh, PA, USA
El Paso, TX
University of California Alexander L. Ayzengart, M.D.,
Ricardo Cohen, M.D. Scott Engel, Ph.D.
Davis Sacramento, CA, USA M.P.H., F.A.C.S.
Oswaldo Cruz Hospital Director of Behavioral Research
David B Allison, Ph.D. Assistant Professor of Surgery, Division Center for Bio-Behavioral Research
of Gastrointestinal Surgery Sao Paulo, Brazil
Indiana University Sanford Research, Fargo, ND 58122-0001
Bloomington, IN, USA University of Florida College of Medicine Karen J Coleman, Ph.D.
Laura E. Fischer M.D., M.S., F.A.C.S.
Andrew J Beamish, [Link], M.D. Southern California Permanente
Ali Aminian, M.D. University of Oklahoma
University of Gothenburg Medical Group
Cleveland Clinic Oklahoma City, Oklahoma, USA
Gothenburg, Sweden Pasadena, CA, USA
Cleveland, OH, USA Michel Gagner, M.D.
Ruth E. Blackham M.B.B.S., M.S., Eva M. Conceiç~ao Ph.D.
Laurent Biertho, M.D. [Link].M., F.R.A.C.S., F.A.C.L.M. Herbert Wertheim School of Medicine
University of Minho ^
Laval University The University of Western Australia Hopital du Sacre Coeur
Braga, Portugal
Quebec, Canada Perth, West Australia Montreal, Canada
Daniel R. Cronk, M.D., F.A.C.S.,
Stacy Alan Brethauer, M.D. Adrian T. Billeter, MD, PhD Omar M. Ghanem, M.D., F.A.C.S.
F.A.S.M.B.S.
Cleveland, OH, USA University of Heidelberg Assistant Professor of Surgery, Mayo Clinic
Erlanger Health System
Heidelberg, Baden-W€urttemberg Rochester, MN, USA
Luca Busetto, M.D. Chattanooga, TN, USA
University of Padua School of Medicine Germany Saber Ghiassi M.D., M.P.H., F.A.C.S.,
Cynthia-Michelle Borg, M.D. Adrian G. Dan, M.D., F.A.C.S., F.A.S.M.B.S.
Padua, Italy
University Hospital Lewisham F.A.S.M.B.S. Department of Surgery, Yale School of
Guilherme M Campos, M.D. London, England, UK Northeast Ohio Medical University Medicine, New Haven, CT, USA
Virginia Commonwealth University Camilo Boza, M.D. and Summa Health System
Jon C. Gould, M.D., M.B.A.
Richmond, VA, USA Hospital Clinico Pontificia Akron, OH, United States of America
Medical College of Wisconsin
Janelle Coughlin, Ph.D. Universidad Catolica de Chile Scott Davis, M.D. Milwaukee, WI, USA
Johns Hopkins School of Medicine Santiago, CHI Emory Bariatrics Center
Robert E Brolin, M.D. Peter T Hallowell, M.D.
Baltimore, MD, USA Atlanta, GA, USA University of Virginia
Princeton, NJ, USA
Anita P Courcoulas, M.D. Nestor De La Cruz-Munoz, M.D. Charlottesville, VA, USA
Henry Buchwald, M.D., Ph.D.
University of Pittsburgh University of Miami School of Medicine Monique Hassan, M.D., M.B.A., F.A.C.S.,
University of Minnesota
Pittsburgh, PA, USA Miami, FL, USA F.A.S.M.B.S., D.A.B.O.M.
Minneapolis, MN, USA
Eric J DeMaria, Ph.D. Marco Bueter, M.D., Ph.D. J. Christopher Eagon, M.D. Baylor Scott & White Medical Center
East Carolina University University Hospital Zurich Washington University Temple
Greenville, NC, USA Zurich, Switzerland St. Louis, MO, USA Temple, Texas, USA
 VOLUME 20 NUMBER 1 JANUARY 2024

THE OFFICIAL JOURNAL OF THE AMERICAN SOCIETY

FOR METABOLIC AND BARIATRIC SURGERY
and the BRAZILIAN SOCIETY FOR BARIATRIC SURGERY

EDITORIAL BOARD (CONTINUED)

Elizabeth M. Hechenbleikner, M.D., F.A.C.S., S. Julie-Ann Lloyd, M.D., Ph.D. Jaime Ponce, M.D. Kristine J. Steffen, Pharm.D., Ph.D.
F.A.S.M.B.S. Baylor College of Medicine Chattanooga, TN, USA North Dakota State University
Division of General and GI Surgery, Emory University Houston, Texas, United States Walter J Pories, M.D. Fargo, ND, USA
School of Medicine Kamal Mahawar, M.S., [Link]., East Carolina University Philippe A Topart, M.D.
Atlanta, Georgia, United States F.R.C.S.E.d. Greenville, NC, USA Societe de chirugie viscerale, Clinique de
Kelvin Higa, M.D. Consultant Surgeon, Sunderland Dana Portenier, M.D. l’Anjou
Fresno, CA, USA Royal Hospital Duke Regional Hospital Angers, France
Jacques Himpens, M.D. Sunderland, United Kingdom Durham, NC, USA Antonio J. Torres M.D., Ph.D., F.A.C.S.,
St Pierre University Hospital James Maher, M.D. FASMBS. Professor of Surgery
Gerhard Prager, M.D.
Brussels, Belgium Hunter McGuire Veterans Medical Complutense University of Madrid
University of Vienna Medical Center
Farah A. Husain M.D., F.A.C.S., F.A.S.M.B.S. Center Hospital Clinico “San Carlos”
Vienna, Austria
Oregon Health & Science University Richmond, VA, USA [Link]
Almino Ramos, M.D., I.F.A.S.M.B.S.
Portland, Oregon, USA Saniea F Majid, M.D., F.A.C.S., Oliver Varban, M.D.
ABC Medical University
Sayeed Ikramuddin, M.D. F.A.S.M.B.S., D.A.B.O.M. University of Michigan Health Systems
Sao Paulo, Brazil
University of Minnesota Weight Loss and Wellness Center Ann Arbor, MI, USA
Livingston, NJ, USA Christine Ren-Fielding, M.D.
Minneapolis, MN, USA New York University Sivamainthan Vithiananthan, M.D.
Valentina Ivezaj, Ph.D. Corrigan Lee McBride, M.D. Warren Alpert Medical School of Brown
New York, NY, USA
Yale School of Medicine University of Nebraska University
Omaha, NE, USA Francesco Rubino, M.D.
New Haven, CT, USA King’s College Providence, RI, USA
Geltrude Mingrone, M.D.
Brian P Jacob, M.D. Catholic University of Rome London, United Kingdom Phil Vourtzoumis, M.D., F.R.C.S.C.
Icahn School of Medicine at Mount Sinai Rome, Italy Alan A Saber, M.D. Bariatric Surgery Program Quebec Heart
New York, NY, USA Newark Beth Israel Medical Center and Lung Institute
Marius Nedelcu, M.D.
Kunoor Jain-Spangler, M.D. Newark, NJ, USA Quebec City, Qc, Canada
Clinique Saint Michel
Duke University School of Medicine Toulon, France David Sarwer, Ph.D. Rudolf A. Weiner, M.D.
Durham, North Carolina, United States Temple University Krankenhaus Sachsenhausen
Ninh Nguyen, M.D.
Daniel B Jones, M.D., M.S. Philadelphia, PA, USA Frankfurt am Main, Germany
University of California, Irvine
Harvard Medical School Orange, CA, USA Bruce Schirmer, M.D. Noel Williams, M.D.
Boston, MA, USA University of Virginia University of Pennsylvania
David Noca, M.D., Ph.D.
Radwan Kassir, M.D., Ph.D., H.D.R. Chief of the Bariatric and Charlottesville, VA, USA Philadelphia, PA, USA
CHU Felix Guyon Metabolic Unit of Montpellier Michael Allen Schweitzer, M.D. Rickesha L. Wilson, M.D.
Saint-Denis, La Reunion, France University Hospital Johns Hopkins University Bariatric and Metabolic Institute
Andrei Keidar, M.D. Montpellier, France Baltimore, MD, USA Cleveland Clinic
Beilinson Hospital, Tel Aviv University Patrick Noel, M.D., I.F.A.s.M.B.S. John D. Scott, M.D. Cleveland, Ohio
Tel Aviv, Israel Mediclinic Parkview Clinical Professor of Surgery Alan Wittgrove, M.D.
Colleen I. Kennedy, M.D. Dubai, UAE University of South Carolina San Diego, CA, USA
Dallas, TX, USA Manish Parikh, M.D. School of Medicine – Greenville Natan Zundel, M.D.
Gail A. Kerver, Ph.D. Bellevue Hospital Prisma Health Miami, FL, USA
Sanford Center for Biobehavioral Research New York, NY, USA Greenville, SC, USA MBSAQIP Editors
Fargo, Ohio, USA Sungsoo Park, M.D., Ph.D., Scott Shikora, M.D. John Morton, M.D.
F.A.S.M.B.S Brigham and Woman’s Hospital Chair, MBSAQIP Editorial Board
Julie Kim, M.D. Harvard University
Harvard Medical School Anam Hospital, Korea University Committee
College of Medicine Boston, MA, USA Yale University
Boston, MA, USA
Seoul, Republic of Korea Ian S. Soriano, M.D., F.A.C.S, New Haven, CT, USA
Tammy L. Kindel, M.D., Ph.D., F.A.C.S., F.A.S.M.B.S. F.A.S.M.B.S.
Chetan Parmar, M.S., D.N.B., Shaina R. Eckhouse, MD
Medical College of Wisconsin University of California San Francisco
P.G.D.H.H.M., F.R.C.S. Washington University School of Medicine
Milwaukee, Wisconsin, USA San Francisco, California, USA
Whittington Hospital St. Louis, MO, United States of America
Matthew Kroh M.D., F.A.C.S., F.A.S.M.B.S., F.A.S.G.E. Ram M. Spira, MD
Cleveland Clinic London, United Kingdom Wayne English, M.D.
Shaare Zedek Medical Center, The Vanderbilt University
Cleveland, OH, USA Ralph Peterli, M.D.
Hebrew University School of Nashville, TN, USA
Deputy Head of Department of Visceral
WEI-JEI LEE, M.D. Medicine
Surgery Head of bariatric centre and Anthony Petrick, M.D.
Min-Sheng General Hospital Jerusalem, Israel
visceral surgery research Clarunis, Geisinger Medical Center
Taoyuan, Taiwan Dimitrios Stefanidis, M.D., Ph.D.,
University Centre for Gastrointesti- Danville, PA, USA
Carel Le Roux, M.D., Ph.D. nal and Liver Diseases, St. Clara F.A.C.S., F.S.S.H., F.A.S.M.B.S. Aurora Dawn Pryor, M.D.
Imperial College London Hospital and University Hospital Indiana University State University of New York
London, United Kingdom Basel, Switzerland Indianapolis, IN, USA Stony Brook, NY, USA

SOCIAL MEDIA EDITORIAL BOARD MEMBER

Jawad T. Ali, M.D., F.A.C.S. Matthew Dong, M.D., M.P.H., F.A.C.S. Zaher Toumi, M.D.
Ascension Seton Hays Mount Sinai Hospital University Hospital of North Durham
Kyle, Texas New York, NY, USA Durham, England, United Kingdom

ASSOCIATE EDITORS INTEGRATED HEALTH

Dale S Bond, M.D. Lillian Craggs-Dino, DHA, RDN, LDN William Gourash, R.N., C.R.N.P., Ph.D.
Brown University Medical Center Cleveland Clinic Florida University of Pittsburgh Medical Center
Providence, RI, USA Weston, FL, USA Pittsburgh, PA, USA
 VOLUME 20 NUMBER 1 JANUARY 2024

THE OFFICIAL JOURNAL OF THE AMERICAN SOCIETY

FOR METABOLIC AND BARIATRIC SURGERY
and the BRAZILIAN SOCIETY FOR BARIATRIC SURGERY

INTEGRATED HEALTH EDITORIAL BOARD

Cynthia Buffington, Ph.D. Wendy C King, Ph.D. Julie Parrott, M.D.
Celebration, FL, USA University of Pittsburgh Private Practice
Karen Groller, Ph.D., R.N., C.V.-B.C., C.M.S.R.N., Pittsburgh, PA, USA Central, NJ, USA
Moravian University, Bethlehem, PA, USA
Faina Linkov, M.D., Ph.D. Bobbie Lou Price, R.N., B.S.N.
Kellene Isom, M.D.
University of Pittsburgh Physicians East
Simmons University
Pittsburgh, PA, USA Greenville, NC, USA
Boston, MA, USA
Shiri Sherf-Dagan R.D., Ph.D. Tracy Martinez, M.D. Maureen T. Quigley, A.P.R.N., F.N.P
Ariel University & Assuta Medical Centers La Jolla, CA, USA Dartmouth-Hitchcock Medical Center
Tel Aviv, Israel Hanover, NH, USA

SOARD PREFERRED REVIEWERS

Eric Ahnfeldt, D.O. Vasileios Charalampakis, M.D., Ph.D., Mirto Foletto, M.D. Division of Minimally Invasive Surgery
William Beaumont Army Medical Center F.R.C.S. University of Padua University of Michigan
El Paso, Texas, United States South Warwickshire NHS Foundation Trust Padova, Italy David M. Parker, M.D.
Warwick, United Kingdom David Funes-Romero, M.D. Geisinger Medical Center
Ramzi S. Alami, M.D., F.A.C.S.,
F.A.S.M.B.S. Sonja Chiappetta, M.D., Ph.D. Cleveland Clinic, The Bariatric and Danville, Pennsylvania, United States
American University of Beirut Medical Head of Obesity and Metabolic Metabolic Institute, Department of Maud Robert, M.D., Ph.D.
Centre Surgery Unit General Surgery Civil Hospices of Lyon
Bayrut, Lebanon Ospedale Evangelico Betania, Naples, Italy Weston, Florida, United States Lyon, France
Vamsi V. Alli, M.D. Yong Choi, M.D. Carlos Galvani, M.D. Federico J Serrot, M.D.
PENN STATE MILTON S HERSHEY The Woodlands Hospital Baylor College of Medicine Emory University School of Medicine,
MEDICAL CENTER The Woodland’s, TX, United States Houston, Texas, United States Emory Bariatric Center
Hershey, Pennsylvania, United States Ricard Corcelles, M.D. Hamlet Gasoyan, D.M.D., Ph.D., M.P.H. Atlanta, Georgia, United States
Daniel Peter Andersson, M.D., Ph.D. Cleveland Clinic Abu Dhabi Cleveland Clinic Andrea Margit Stroud, M.D., M.S.
Karolinska Institute Abu Dhabi, United Arab Emirates Cleveland, OH, United States Oregon Health & Science University,
Huddinge, Sweden Daniel Cottam, M.D. John Gleysteen, M.D. Assistant Professor, Department of
Donna Bahroloomi, M.D., M.P.H. Bariatric Medicine Institute The University of Alabama at Birmingham Surgery, Division of Bariatric Surgery
Lenox Hill Hospital in Northwell Salt Lake City, Utah, United States Birmingham, Alabama, United States Portland, Oregon, United States
Health Michael Courtney, [Link]. Valerie Halpin, M.D. Lawrence Tabone, M.D.
New York, New York, United States South Tyneside and Sunderland NHS Trust Legacy Good Samaritan Medical West Virginia University
Sunderland, United Kingdom Center Morgantown, West Virginia, United States
Sergio Jose Bardaro, M.D.
MetroHealth Medical Center Ramsey Dallal, M.D. Portland, Oregon, United States Talar Tatarian, M.D.
Cleveland, Ohio, United States Albert Einstein Healthcare Network Ryan D Horsley, D.O. Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States Geisinger Community Medical Center Philadelphia, Pennsylvania, United States
Limaris Barrios, M.D.
Mercy Hospital HCA East Florida Anne P. Ehlers, M.D. Scranton, Pennsylvania, United States Eric Velazquez, M.D.
Division University of Michigan Jason Johnson, D.O. Temple University Health System
Miami, Florida, United States Ann Arbor, MI, United States Saint Joseph Hospital Philadelphia, PA, United States
Alec Beekley, M.D. Maher El Chaar, M.D. Denver, Colorado, United States R. Wesley Vosburg, M.D., F.A.C.S.,
Thomas Jefferson University Hospital Lewis Katz School of Medicine at Temple Namir Katkhouda, M.D., F.A.C.S. F.A.S.M.B.S.
Philadelphia, Pennsylvania, United University University of Southern California American Board of Obesity Medicine
States Philadelphia, Pennsylvania, United States Los Angeles, California, United States Diplomat
Instructor in Surgery Harvard Medical
Paolo Bernante, M.D. Enricho Facchiano, M.D., Ph.D. MacKenzie Landin, M.D.
School
The Hospital Giovanni Paolo II General and Bariatric Surgeon Banner University Medical Center-Phoenix
Mount Auburn Hospital Weight
Pieve di Cadore, Italy Santa Maria Nuova Hospital-Florence Italy Arizona, United States
Management Center
Vivek Bindal, M.S., F.N.B., F.A.C.S. Byron Faler, M.D. Robert Lim, M.D. Cambridge, MA
Sir Ganga Ram Hospital Dwight D. Eisenhower Army Medical TRIPLER ARMY MEDICAL CENTER,
Brandon Williams, M.D.
New Delhi, India Center Tripler Army Medical Center
VANDERBILT UNIVERSITY MEDICAL
Allen Browne, M.D. Augusta, Georgia, United States Hawaii, United States
CENTER
Maine Medical Partners Falmouth Family Alexandra Falvo, M.D. Brij Madhok, M.B.B.S., M.S., M.D., F.R.C.S. Nashville, Tennessee, United States
Medicine Geisinger Medical Center University Hospitals of Derby and Burton
Laura B. Wool, P.S.Y.D.
Falmouth, Maine, United States Danville, Pennsylvania, United States NHS Foundation Trust
Department of Psychiatry and Behavioral
Juliette Chang, M.D. Edward Felix, M.D. Derby, England
Neurosciences
Cleveland Clinic Foundation Marien Hospital Sean Michael O’Neill, M.D., Ph.D. Loyola University Medical Center Maywood
Cleveland, Ohio, United States Dusseldorf, Germany Clinical Assistant Professor Illinois, United States