Obesity

Dynamics of adipose tissue macrophage populations after gastric bypass surgery

Obesity (Silver Spring)Published Case-control study

Authors' conclusion

The effect of gastric bypass on adipose tissue inflammatory status associates closely with CLS density even in subjects with suboptimal weight loss. The study suggests that factors related to bypass surgery other than weight loss modify the inflammatory response in adipose tissue.

Study context

Population
Patients with obesity; subcutaneous adipose tissue samples before and 12 months after intervention
Participants
39 vs 43
Comparison
RYGB vs conservative treatment of obesity
  • RYGBn = 39
  • Conservativen = 43reference
Outcome
Dynamics of macrophage infiltration (CLS density, single macrophages) in subcutaneous adipose tissue
Follow-up
12 months

Main finding

As reported in the abstract

CLS density per 1000 fat cells after RYGB · before to 12 months after surgery
Crown-like structures (CLS) density declined from 4.1 (SD 3.5) to 1.1 (SD 0.8) per 1000 fat cells, regardless of degree of weight loss
p < 0.000

Observational data: associations, not effects.

Original publication

Dynamics of adipose tissue macrophage populations after gastric bypass surgery. Obesity (Silver Spring). Published 7 December 2022. doi:10.1002/oby.23602

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