{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T14:37:39Z","timestamp":1787668659311,"version":"build-2736575974"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s11695-026-08648-8","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T22:28:59Z","timestamp":1776724139000},"page":"2838-2845","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pre-ablation Weight Loss Via Metabolic Bariatric Surgery is Associated with Lower In-hospital Complications in Patients with Atrial Fibrillation\/flutter"],"prefix":"10.1007","volume":"36","author":[{"given":"Panat","family":"Yanpiset","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chanokporn","family":"Puchongmart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Thiravetyan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phuuwadith","family":"Wattanachayakul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thitiphan","family":"Srikulmontri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanathip","family":"Suenghataiphorn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakditad","family":"Saowapa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nattayaporn","family":"Apaijai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"issue":"1","key":"8648_CR1","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1161\/CIRCRESAHA.120.316340","volume":"127","author":"J Kornej","year":"2020","unstructured":"Kornej J, Borschel CS, Benjamin EJ, Schnabel RB. Epidemiology of Atrial Fibrillation in the 21st Century: Novel Methods and New Insights. Circ Res. 2020;127(1):4\u201320.","journal-title":"Circ Res"},{"issue":"1","key":"8648_CR2","doi-asserted-by":"publisher","first-page":"e032277","DOI":"10.1161\/JAHA.123.032277","volume":"13","author":"R Sha","year":"2024","unstructured":"Sha R, Baines O, Hayes A, et al. Impact of Obesity on Atrial Fibrillation Pathogenesis and Treatment Options. J Am Heart Assoc. 2024;13(1):e032277.","journal-title":"J Am Heart Assoc"},{"issue":"20","key":"8648_CR3","doi-asserted-by":"publisher","first-page":"2471","DOI":"10.1001\/jama.292.20.2471","volume":"292","author":"TJ Wang","year":"2004","unstructured":"Wang TJ, Parise H, Levy D, et al. Obesity and the risk of new-onset atrial fibrillation. JAMA. 2004;292(20):2471\u20137.","journal-title":"JAMA"},{"issue":"4","key":"8648_CR4","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1002\/clc.23795","volume":"45","author":"N Prasitlumkum","year":"2022","unstructured":"Prasitlumkum N, Chokesuwattanaskul R, Kaewput W, et al. Utilization and in-hospital complications of catheter ablation for atrial fibrillation in patients with obesity and morbid obesity. Clin Cardiol. 2022;45(4):407\u201316.","journal-title":"Clin Cardiol"},{"key":"8648_CR5","doi-asserted-by":"crossref","unstructured":"Vermeer J, Houterman S, Medendorp N, van der Voort P, Dekker L. Ablation Registration Committee of the Netherlands Heart R. Body mass index and pulmonary vein isolation: real-world data on outcomes and quality of life. Europace. 2024;26(6):euae157","DOI":"10.1093\/europace\/euae157"},{"issue":"2","key":"8648_CR6","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1093\/europace\/euac225","volume":"25","author":"J Tonnesen","year":"2023","unstructured":"Tonnesen J, Pallisgaard J, Ruwald MH, et al. Short- and long-term risk of atrial fibrillation recurrence after first time ablation according to body mass index: a nationwide Danish cohort study. Europace. 2023;25(2):425\u201332.","journal-title":"Europace"},{"issue":"20","key":"8648_CR7","doi-asserted-by":"publisher","first-page":"e012253","DOI":"10.1161\/JAHA.119.012253","volume":"8","author":"R Providencia","year":"2019","unstructured":"Providencia R, Adragao P, de Asmundis C, et al. Impact of Body Mass Index on the Outcomes of Catheter Ablation of Atrial Fibrillation: A European Observational Multicenter Study. J Am Heart Assoc. 2019;8(20):e012253.","journal-title":"J Am Heart Assoc"},{"issue":"3","key":"8648_CR8","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.jacep.2015.04.004","volume":"1","author":"CX Wong","year":"2015","unstructured":"Wong CX, Sullivan T, Sun MT, et al. Obesity and the Risk of Incident, Post-Operative, and Post-Ablation Atrial Fibrillation: A Meta-Analysis of 626,603 Individuals in 51 Studies. JACC Clin Electrophysiol. 2015;1(3):139\u201352.","journal-title":"JACC Clin Electrophysiol"},{"issue":"2","key":"8648_CR9","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1536\/ihj.24-141","volume":"66","author":"R Ning","year":"2025","unstructured":"Ning R, Zeng Y, Zhang M, Yu F. Impact of Obesity on Short-Term Outcomes Following Catheter Ablation for Atrial Fibrillation in Patients with Heart Failure. Int Heart J. 2025;66(2):264\u201370.","journal-title":"Int Heart J"},{"issue":"8 Pt 3","key":"8648_CR10","doi-asserted-by":"publisher","first-page":"1816","DOI":"10.1016\/j.jacep.2023.04.023","volume":"9","author":"MC Tan","year":"2023","unstructured":"Tan MC, Ang QX, Yeo YH, et al. Impact of Obesity on Catheter Ablation of Atrial Fibrillation: In-Hospital and 30-Day Outcomes. JACC Clin Electrophysiol. 2023;9(8 Pt 3):1816\u20137.","journal-title":"JACC Clin Electrophysiol"},{"issue":"2","key":"8648_CR11","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1007\/s13679-015-0155-x","volume":"4","author":"J Grams","year":"2015","unstructured":"Grams J, Garvey WT. Weight Loss and the Prevention and Treatment of Type 2 Diabetes Using Lifestyle Therapy, Pharmacotherapy, and Bariatric Surgery: Mechanisms of Action. Curr Obes Rep. 2015;4(2):287\u2013302.","journal-title":"Curr Obes Rep"},{"key":"8648_CR12","doi-asserted-by":"crossref","unstructured":"Alfadda AA, Al-Naami MY, Masood A et al. Long-Term Weight Outcomes after Bariatric Surgery: A Single Center Saudi Arabian Cohort Experience. J Clin Med. 2021;10(21):4922","DOI":"10.3390\/jcm10214922"},{"issue":"2","key":"8648_CR13","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1111\/obr.12241","volume":"16","author":"RL Williams","year":"2015","unstructured":"Williams RL, Wood LG, Collins CE, Callister R. Effectiveness of weight loss interventions\u2013is there a difference between men and women: a systematic review. Obes Rev. 2015;16(2):171\u201386.","journal-title":"Obes Rev"},{"key":"8648_CR14","doi-asserted-by":"publisher","first-page":"102475","DOI":"10.1016\/j.eclinm.2024.102475","volume":"69","author":"SBK Jensen","year":"2024","unstructured":"Jensen SBK, Blond MB, Sandsdal RM, et al. Healthy weight loss maintenance with exercise, GLP-1 receptor agonist, or both combined followed by one year without treatment: a post-treatment analysis of a randomised placebo-controlled trial. EClinicalMedicine. 2024;69:102475.","journal-title":"EClinicalMedicine"},{"issue":"1","key":"8648_CR15","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1186\/s12913-022-07950-2","volume":"22","author":"J Breuing","year":"2022","unstructured":"Breuing J, Konsgen N, Doni K, Neuhaus AL, Pieper D. Information needs of patients undergoing bariatric surgery in Germany: a qualitative study. BMC Health Serv Res. 2022;22(1):515.","journal-title":"BMC Health Serv Res"},{"issue":"6","key":"8648_CR16","first-page":"e62284","volume":"16","author":"R Machado Carvalhais","year":"2024","unstructured":"Machado Carvalhais R, Siochi C, Harutyunyan G, et al. Differences in the Impact of Obesity and Bariatric Surgery on Patients Hospitalized for Atrial Flutter and Atrial Fibrillation: A Nationwide Analysis, 2016\u20132020. Cureus. 2024;16(6):e62284.","journal-title":"Cureus"},{"issue":"10","key":"8648_CR17","doi-asserted-by":"publisher","first-page":"1476","DOI":"10.1093\/europace\/euz183","volume":"21","author":"E Donnellan","year":"2019","unstructured":"Donnellan E, Wazni OM, Kanj M, et al. Association between pre-ablation bariatric surgery and atrial fibrillation recurrence in morbidly obese patients undergoing atrial fibrillation ablation. Europace. 2019;21(10):1476\u201383.","journal-title":"Europace"},{"issue":"10","key":"8648_CR18","doi-asserted-by":"publisher","first-page":"e007598","DOI":"10.1161\/CIRCEP.119.007598","volume":"12","author":"E Donnellan","year":"2019","unstructured":"Donnellan E, Wazni O, Kanj M, et al. Outcomes of Atrial Fibrillation Ablation in Morbidly Obese Patients Following Bariatric Surgery Compared With a Nonobese Cohort. Circ Arrhythm Electrophysiol. 2019;12(10):e007598.","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"8648_CR19","doi-asserted-by":"publisher","first-page":"e46","DOI":"10.15420\/ecr.2023.04","volume":"18","author":"JG Andrade","year":"2023","unstructured":"Andrade JG. Ablation as First-line Therapy for Atrial Fibrillation. Eur Cardiol. 2023;18:e46.","journal-title":"Eur Cardiol"},{"issue":"6","key":"8648_CR20","doi-asserted-by":"publisher","first-page":"882","DOI":"10.1016\/j.hlc.2024.02.009","volume":"33","author":"SR Sargent","year":"2024","unstructured":"Sargent SR, Mladenovic JR, Liaw JJT, et al. Catheter Ablation for Atrial Fibrillation-Influence of Modifiable Risk Factors and Ablation Modality on Procedural Efficacy and Safety. Heart Lung Circ. 2024;33(6):882\u20139.","journal-title":"Heart Lung Circ"},{"issue":"2","key":"8648_CR21","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/j.hroo.2020.04.004","volume":"1","author":"UN Srivatsa","year":"2020","unstructured":"Srivatsa UN, Malhotra P, Zhang XJ, et al. Bariatric surgery to aLleviate OCcurrence of Atrial Fibrillation Hospitalization-BLOC-AF. Heart Rhythm O2. 2020;1(2):96\u2013102.","journal-title":"Heart Rhythm O2"},{"issue":"7","key":"8648_CR22","doi-asserted-by":"publisher","first-page":"e019323","DOI":"10.1161\/JAHA.120.019323","volume":"10","author":"G Hoskuldsdottir","year":"2021","unstructured":"Hoskuldsdottir G, Sattar N, Miftaraj M, et al. Potential Effects of Bariatric Surgery on the Incidence of Heart Failure and Atrial Fibrillation in Patients With Type 2 Diabetes Mellitus and Obesity and on Mortality in Patients With Preexisting Heart Failure: A Nationwide, Matched, Observational Cohort Study. J Am Heart Assoc. 2021;10(7):e019323.","journal-title":"J Am Heart Assoc"},{"key":"8648_CR23","doi-asserted-by":"crossref","unstructured":"Ion RM, Hutanu A, Sala DT et al. Short-Term Changes in TNF-Alpha, IL-6 and Adiponectin Following Bariatric Surgery in Caucasian Obese Adults: An Observational Case-Control Study. Med (Kaunas). 2024;60(11):1789","DOI":"10.3390\/medicina60111789"},{"issue":"1","key":"8648_CR24","doi-asserted-by":"publisher","first-page":"2395565","DOI":"10.1080\/21623945.2024.2395565","volume":"13","author":"ER Meulendijks","year":"2024","unstructured":"Meulendijks ER, Janssen-Telders C, Hulsman EL, et al. The change of epicardial adipose tissue characteristics and vulnerability for atrial fibrillation upon drastic weight loss. Adipocyte. 2024;13(1):2395565.","journal-title":"Adipocyte"},{"issue":"3","key":"8648_CR25","doi-asserted-by":"publisher","first-page":"26128","DOI":"10.31083\/RCM26128","volume":"26","author":"Y Ding","year":"2025","unstructured":"Ding Y, Lin F, Liu Z, Zhou X, Liang X. Targeting Epicardial\/Pericardial Adipose Tissue in Cardiovascular Diseases: A Novel Therapeutic Strategy. Rev Cardiovasc Med. 2025;26(3):26128.","journal-title":"Rev Cardiovasc Med"},{"key":"8648_CR26","doi-asserted-by":"publisher","first-page":"100093","DOI":"10.1016\/j.obpill.2023.100093","volume":"8","author":"A Punjwani","year":"2023","unstructured":"Punjwani A, Unbehaun G, Duarte Z, Jorge J. Weight reduction after bariatric surgery - Do results correlate with postoperative visit frequency? Obes Pillars. 2023;8:100093.","journal-title":"Obes Pillars"},{"key":"8648_CR27","doi-asserted-by":"publisher","first-page":"100784","DOI":"10.1016\/j.lanepe.2023.100784","volume":"37","author":"E Shantsila","year":"2024","unstructured":"Shantsila E, Choi EK, Lane DA, Joung B, Lip GYH. Atrial fibrillation: comorbidities, lifestyle, and patient factors. Lancet Reg Health Eur. 2024;37:100784.","journal-title":"Lancet Reg Health Eur"},{"issue":"4","key":"8648_CR28","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.soard.2023.11.011","volume":"20","author":"K Abi Mosleh","year":"2024","unstructured":"Abi Mosleh K, Lind R, Salame M, et al. Comparative multicenter analysis of sleeve gastrectomy, gastric bypass, and duodenal switch in patients with BMI >\/=70kg\/m(2): a 2-year follow-up. Surg Obes Relat Dis. 2024;20(4):399\u2013405.","journal-title":"Surg Obes Relat Dis"},{"issue":"12","key":"8648_CR29","doi-asserted-by":"publisher","first-page":"3932","DOI":"10.1007\/s11695-022-06294-4","volume":"32","author":"A Kraftson","year":"2022","unstructured":"Kraftson A, Cain-Nielsen AH, Lockwood A, et al. Predicting Early Weight Loss Failure Using a Bariatric Surgery Outcomes Calculator and Weight Loss Curves. Obes Surg. 2022;32(12):3932\u201341.","journal-title":"Obes Surg"},{"issue":"3","key":"8648_CR30","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1007\/s11695-010-0318-5","volume":"21","author":"VC de Sa","year":"2011","unstructured":"de Sa VC, Ferraz AA, Campos JM, Ramos AC, Araujo JG Jr., Ferraz EM. Gastric bypass in the treatment of type 2 diabetes in patients with a BMI of 30 to 35 kg\/m2. Obes Surg. 2011;21(3):283\u20137.","journal-title":"Obes Surg"},{"key":"8648_CR31","unstructured":"HCUP-US. NIS Overview, (n.d.). [cited 2024 September 30]; Available from: https:\/\/hcup-us.ahrq.gov\/nisoverview.jsp"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08648-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-026-08648-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-026-08648-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:09:55Z","timestamp":1781010595000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-026-08648-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["8648"],"URL":"https:\/\/doi.org\/10.1007\/s11695-026-08648-8","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]},"assertion":[{"value":"25 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 December 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 April 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 April 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective study utilized data from the NIS database (2016 to 2022). The NIS database is a publicly available database with anonymous, de-identified inpatient data, maintained by the Healthcare Cost and Utilization Project (HCUP) [\n                      \n                      ]. As the data are de-identified, Institutional Review Board approval and informed consent are not required for this study. This study was conducted and reported in accordance with the STROBE guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}