Bariatric & Metabolic Specialty

Committed to shaping the future of surgery in the fight against obesity and metabolic diseases and helping to elevate the standard of care through research and evidence, best-in-class education and training, innovative products and expanding patient access to care. Together, we're advancing surgical care, and striving for patients to live longer, more fulfilling lives.

Bariatric & Metabolic Specialty

Your Choice of Stapler Matters

With decisions ranging from surgical approach to post operative management, the stapler choice matters in reducing hemostasis‐related complication rates in bariatric surgery.1* ECHELON FLEX GST System controls tissue movement to transect as you intend, even on challenging tissue.2#

Your Choice of Stapler Matters
Patient Pathway Capabilities: Care4Today

Patient Pathway Capabilities: Care4Today

Care4Today is a Digital Care solution connecting the health care team and patients, ensuring a seamless flow of communication before and after bariatric & metabolic procedures, engaging and educating patients, reassuring and supporting them throughout the entire Obesity treatment journey.

Bariatric Professional Education Courses

Bariatric Professional Education Courses

The Johnson & Johnson Institute offers comprehensive Bariatric specialty learning opportunities on the efficacious usage of Ethicon devices, surgical techniques and measures to provide ongoing learning opportunities to improve patient outcomes.

Ethicon commitment to combat obesity stigma.

Ethicon commitment to combat obesity stigma.

Ethicon joined World Obesity Day 2020 to fight against pervasive stigma and misunderstanding of obesity, which help fuel worldwide epidemic and pose barriers to effective prevention strategies and treatments.

Featured Bariatric Products

ECHELON FLEX™ GST System

Echelon Flex Powered Staplers with GST Reloads

HARMONIC® HD 1000i Shears

HARMONIC HD 1000i Shears

HARMONIC ACE+7 SHEARS with Advanced Hemostasis

HARMONIC ACE+7 SHEARS with Advanced Hemostasis

STRATAFIX™ Spiral Knotless Tissue Control Device

STRATAFIX Spiral Knotless Tissue Control Device

Resources

Research & Evidence

Driving the body of evidence that shows surgery is the most effective and durable treatment for severe obesity and benefits extend beyond weight loss with improvement or resolution of related diseases

Education and Training

Providing a comprehensive suite of bariatric professional education programs on current and emerging procedures to enhance the patient experience and coordinated patient care models

Access and Reimbursement

Driving the body of evidence that shows bariatric surgery is the most effective and durable treatment for severe obesity.

Innovative products

Innovation based on the evolving needs of surgeons and providers: providing a comprehensive portfolio of market leading products and resources for the successful clinical and economic outcomes

Videos

References

*Based on analysis of economic and clinical outcomes between Echelon Powered vs. Medtronic non-powered endoscopic surgical staplers. Review cases between 2012 and 2015 from the US Premier Healthcare Database. Data assessed included total hospital cost, supply cost, room & board cost, operating room time, and incidence of hemostasis-related complications; all p ≤ 0.05 (128050-191120 EMEA)

#Challenging tissue—thick, fragile, and varying thickness and density

†Use of Ethicon powered staplers was associated with fewer bleeding / transfusion complications (1.61%) compared to Medtronic non-powered staplers (3.05%), p=0.013, in laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass procedures. Based on retrospective analysis of 21,466 cases from the US Premiere Hospital Data Base (127360-191111 EMEA)

‡Use of Ethicon powered staplers was associated with shorter OR time (133 minutes) compared to Medtronic non-powered staplers (154 minutes), p=0.011, in laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass procedures. Based on retrospective analysis of 20,428 cases from the US Premiere Hospital Data Base (127364-191111 EMEA)

¥Use of Ethicon powered staplers is associated with lower overall hospital costs ($12,261) compared to Medtronic non-powered staplers ($14,038), p=0.022, in laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass procedures. Based on retrospective analysis of 21,466 cases from the US Premiere Hospital Data Base (127366-191111 EMEA)


1. Roy S, Yoo A, Yadalam S, Fegelman EJ, Kalsekar I, Johnston SS. Comparison of economic and clinical outcomes between patients undergoing laparoscopic bariatric surgery with powered versus manual endoscopic surgical staplers. J Med Econ. 2017;20(4):423-433.

2. Ethicon, PRC076031B Tissue Performance Design Verification Test of 45mm Gripping Surface Technology (GST) Reloads with Echelon Flex 45mm Powered Plus Staplers, Sep 2016, Data on file Ethicon, PRC067394A Tissue flow and functional performance of ENDOPATH ECHELON™ Reloads (GST) and Covidien’s reloads with TriStaple™ technology, July 2014, Data on file (113328-191211 EMEA)