JACS Highlights

The following articles appear in the May 2024 issue of the Journal of the American College of Surgeons. A complimentary online subscription to JACS is a benefit of ACS membership. See more articles on the JACS website.

Evaluating Outcomes of Non-Accidental Trauma in Military Children

Katie Joskowitz, MAS, Utsav M. Patwardhan, MD, Gretchen M. Floan, MD, and colleagues

Military-affiliated children diagnosed with non-accidental trauma were younger and experienced a higher mortality rate, longer length of hospital stay, and more complications than civilians. This paper identified a high-risk, vulnerable population in need of additional support and research. Read more.

Continued Diabetes Remission Despite Weight Recurrence: Gastric Bypass Long-Term Metabolic Benefit

Omar M. Ghanem, MD, FACS, Kamal Abi Mosleh, MD, Anthony Kerbage, MD, and colleagues

Gastric bypass demonstrates a high rate of type 2 diabetes remission, a phenomenon hypothesized to be mediated mainly by weight loss. This study found a significantly higher rate of continued diabetes remission after gastric bypass compared with a sleeve gastrectomy cohort, despite weight recurrence. Read more.

From Patients to Providers: Assessing the Impact of Normothermic Machine Perfusion on Liver Transplant Practices in the US

Benjamin K. Wang, MD, Andrew D. Shubin, MD, PhD, Jalen A. Harvey, MD, and colleagues

Normothermic machine perfusion preservation before liver transplantation has demonstrated noteworthy benefits for both patients and providers. This study found similar recipient outcomes to those of established static cold storage preservation techniques, a potential shift of peak caseloads for liver transplantations from nighttime to daytime, and decreased discard rates. Read more.

Judgment Errors in Surgical Care

Katherine M. Marsh, MD, MPH, Florence E. Turrentine, PhD, RN, Ruyun Jin, MD, MCR, and colleagues

This study found that patients undergoing a hepatobiliary procedure and patients with certain preoperative variables (insulin-dependent diabetes, severe COPD, or infected wounds) were at increased risk for judgment errors during their hospitalization. Preventing or mitigating errors and closely monitoring patients after an error in judgment are prudent steps that may improve surgical safety, the authors suggested. Read more. 

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