Evidence map›Paper›PMID 36443211›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2023

Mesenteric fat cryolipolysis attenuates insulin resistance in the Ossabaw swine model of the metabolic syndrome.

Rafi Mazor, Alex Babkin, Peter J Littrup, Mouhamad Alloush, Michael Sturek, James P Byrd, Edward Hernandez, Harold Bays, Eduardo Grunvald, Samer G Mattar

Open access · greenAbstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. [The impact of diabetes on aesthetic procedures].Dermatologie (Heidelberg, Germany) · 2025
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Rafi MazorB2M Medical Inc., Irvine, California. Electronic address: rmazor@b2mmedical.com.
Alex BabkinB2M Medical Inc., Irvine, California.
Peter J LittrupDepartment of Radiology, Wayne State University, Detroit, Michigan; Department of Radiology, Ascension Providence Rochester Hospital, Rochester, Michigan.
Mouhamad AlloushDepartment of Anatomy, Cell Biology, and Physiology, Indiana University School of Medicine, Indianapolis, Indiana.
Michael SturekDepartment of Anatomy, Cell Biology, and Physiology, Indiana University School of Medicine, Indianapolis, Indiana.
James P ByrdDepartment of Anatomy, Cell Biology, and Physiology, Indiana University School of Medicine, Indianapolis, Indiana.
Edward HernandezSection of Minimally Invasive and Bariatric Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana.
Harold BaysLouisville Metabolic and Atherosclerosis Research Center, Inc., Louisville, Kentucky.
Eduardo GrunvaldDivision of General Internal Medicine, Department of Medicine, University of California, San Diego, California; Bariatric and Metabolic Institute, Division of Minimally Invasive Surgery, Department of Surgery, University of California, San Diego, California.
Samer G MattarDepartment of Surgery, Baylor College of Medicine, Houston, Texas.
Indiana University School of MedicineBaylor College of Medicine · USLouisville Metabolic and Atherosclerosis Research Center · USUniversity of California, Irvine Medical Center · USUniversity of California San Diego · USWayne State University · US

Funding

Translation CoreP30DK097512 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina · 2015 to 2026
$17.4M
Mesenteric Fat Cryolipolysis to Reverse Insulin ResistanceR43DK133015 · NIDDK · B2M MEDICAL, INC. · PI MAZOR, RAFI · 2022 to 2022
$300k
NIDDK NIH HHS P30 DK097512NIDDK NIH HHS R43 DK133015
6 · The paper itself

Abstract

backgroundThe rising prevalence of insulin resistance (IR), metabolic syndrome, and type 2 diabetes are associated with increases in abdominal mesenteric fat. Adipocytes are sensitive to low temperatures, making cryolipolysis of mesenteric fat an attractive treatment modality to potentially reduce IR.

objectivesWe aimed to determine whether (1) cryolipolysis is safe in reducing the volume of the mesenteric fat and (2) reduction in mesenteric fat volume reduces indices of IR and glycemic dysfunction.

settingIndiana University School of Medicine.

methodsA novel cooling device and method delivered cryolipolysis in a controlled manner to avoid tissue ablative temperatures. Ossabaw pigs (n = 8) were fed a high-fat diet for 9 months to develop visceral obesity, IR, and metabolic syndrome. Following laparotomy, mesenteric fat cryolipolysis (MFC) was performed in 5 pigs, while 3 served as sham surgery controls. The volume of the mesenteric fat was measured by computed tomography and compared with indices of glucose intolerance before and at 3 and 6 months postprocedure.

resultsMFC safely reduced mesenteric fat volume by ∼30% at 3 months, which was maintained at 6 months. Body weight did not change in either the MFC or sham surgery control groups. Measure of glycemic control, insulin sensitivity, and blood pressure significantly improved after MFC compared with sham controls.

conclusionMFC reduces the volume of mesenteric fat and improves glycemic control in obese, IR Ossabaw pigs, without adverse effects.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceMetabolic SyndromeAnimalsBody WeightObesitySwineCryolipolysisInsulin resistanceMesenteric fatOssabaw swine

Identifiers

PMID36443211
PMCPMC10040421
OpenAlexW4307458163

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.