Changes in mesenteric fat thickness and its clinical impact in bariatric surgery
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AbstractObesity, especially central obesity is associated with increased risk of metabolic syndrome, non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes mellitus. The study aimed to investigate the associations of the changes of abdominal fat thicknesses with changes of anthropometric indexes and improvements of metabolic phenotypes in patients with obesity and T2DM before and after bariatric surgery. Between April 2016 and January 2017, 34 adult patients with concurrent obesity and T2DM scheduled for different bariatric surgeries were prospectively evaluated by ultrasound before and 1-year after bariatric surgery to determine abdominal fat thicknesses (mesenteric fat, preperitoneal fat and subcutaneous fat) and NAFLD. At 1 year, of the 25 patients that finished the study, significant decrease in mesenteric-fat-thickness was associated with significant reduction of obesity, that is, BMI (-24%, p < .001), remission of metabolic syndrome (32%, p = .008), NAFLD (60%, p < .001) and T2DM (44%, p < .001). Lower baseline mesenteric fat thickness was associated with remission of metabolic syndrome. Lower baseline mesenteric-fat-thickness may have the potential to predict metabolic syndrome remission after bariatric surgery.
Acceptance Date23/10/2023
All Author(s) ListChiyanika C, Cheung LTF, Liu KH, Kong APS, Wong SKH, Ng EKW, Chu WCW
Journal nameClinical Obesity
Year2024
Month4
Volume Number14
Issue Number2
PublisherWiley
Article numbere12627
ISSN1758-8103
eISSN1758-8111
LanguagesEnglish-United States
KeywordsSbariatric surgery, diabetes, mesenteric fat thickness, metabolic syndrome, obesity, ultrasound
