• Ahmed Abdallah Salman, Mohamed Abdalla Salman, Ahmed Soliman, Ahmed Youssef, Safa Labib, Mona Youssry Helmy, Mohamed A Marie, Mohamed Shawkat, Amir Mostafa, Mohamed Sabry Tourky, Mohamed D Sarhan, Mohamed Gamal Qassem, Hossam El-Din Shaaban, Mahmoud Gouda Omar, and Tarek Elsayed Abouelregal.
• Internal Medicine Department, Faculty of Medicine, Cairo University, Giza, Egypt.
• Ann. Med. 2021 Dec 1; 53 (1): 523530523-530.

PurposeEpicardial fat thickness is an interesting parameter of early atherosclerosis. We prospectively assessed whether weight loss following laparoscopic sleeve gastrectomy (LSG) leads to a significant reduction in the epicardial fat thickness (EFT) and the correlation between the decline in the epicardial fat thickness with other clinical parameters.MethodsA prospective analysis of 98 cases that were scheduled to undergo LSG and followed up for 12 months was conducted. EFT was assessed using two-dimensional (2 D) echocardiography.ResultsA total of 98 cases and 70 controls were enrolled. EFT demonstrated a significant reduction at follow-up in the whole group (median 8.9 (1.95) versus 7.65 (1.67) mm, respectively). The degree of reduction was higher in the LSG cohort compared to control cohort 1.3 (0.4) versus 1 (0.4), respectively; p < .001). The univariate regression analysis demonstrated a notable correlation of the EFT with the weight, body mass index (BMI), fasting blood glucose (FBG), and creatinine with a p-value of <.0001, .001, .022, and .018, respectively while the multivariate analysis showed a strong correlation between EFT and weight and creatinine with a p-value of <.0001 and .033 respectively.ConclusionLSG can have a favourable impact on metabolic syndrome aspects, namely EFT, as it can decrease it considerably.

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