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Meta-Analysis
. 2023 Nov;33(11):3636-3648.
doi: 10.1007/s11695-023-06848-0. Epub 2023 Oct 6.

Epicardial Adipose Tissue Changes After Bariatric and Metabolic Surgery: a Systematic Review and Meta-analysis

Juan Pablo Scarano Pereira  1 , Matteo Calafatti  2 , Alessandro Martinino  3 , Dharmanand Ramnarain  4   5 , Christine Stier  6 , Chetan Parmar  7   8 , Sylvia Weiner  9 , Lukas R Dekker  10 , Till Hasenberg  11   12   13 , Olga Wolf #  14 , Sjaak Pouwels #  15   16   17
Affiliations
Meta-Analysis

Epicardial Adipose Tissue Changes After Bariatric and Metabolic Surgery: a Systematic Review and Meta-analysis

Juan Pablo Scarano Pereira et al. Obes Surg. 2023 Nov.

Abstract

Epicardial adipose tissue (EAT) is a visceral fat depot located between the myocardium and visceral epicardium. Emerging evidence suggests that excessive EAT is linked to increased risk of cardiovascular conditions and other metabolic diseases. A literature search was conducted from the earliest studies to the 26th of November 2022 on PubMed, Embase, and the Cochrane. All the studies evaluating changes in EAT, pericardial adipose tissue (PAT), or total cardiac fat loss before and after BS were included. From 623 articles, 35 were eventually included in the systematic review. Twenty-one studies showed a significant reduction of EAT after BS, and only one study showed a non-significant reduction (p = 0.2).

Keywords: Bariatric surgery; Epicardial adipose tissue; Meta-analysis; Systematic review; Weight loss.

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