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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\u2010year after bariatric surgery to determine abdominal fat thicknesses (mesenteric fat, preperitoneal fat and subcutaneous fat) and NAFLD. At 1\u2009year, of the 25 patients that finished the study, significant decrease in mesenteric\u2010fat\u2010thickness was associated with significant reduction of obesity, that is, BMI (\u221224%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001), remission of metabolic syndrome (32%, <jats:italic>p<\/jats:italic>\u2009=\u2009.008), NAFLD (60%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) and T2DM (44%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Lower baseline mesenteric fat thickness was associated with remission of metabolic syndrome. Lower baseline mesenteric\u2010fat\u2010thickness may have the potential to predict metabolic syndrome remission after bariatric surgery.<\/jats:p>","DOI":"10.1111\/cob.12627","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:28:59Z","timestamp":1699576139000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Changes in mesenteric fat thickness and its clinical impact in bariatric surgery"],"prefix":"10.1111","volume":"14","author":[{"given":"Chileka","family":"Chiyanika","sequence":"first","affiliation":[{"name":"Department of Imaging and Interventional Radiology Prince of Wales Hospital, The Chinese University of Hong Kong  Hong Kong China"},{"name":"Department of Health Technology and Informatics The Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena Tsui 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