Evidence map›Paper›PMID 39689013›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Mesenteric Visceral Lipectomy Improves Glucose Tolerance in Patients With Type 2 Diabetes: A Pilot Study.

Gozde Baskoy, Richard M Peterson, Jason Kempenich, Curtis Triplitt, Marissa Brown, Geoffrey D Clarke, Eugenio Cersosimo, Mark S Andrew, Olga Lavrynenko, Alberto O Chavez-Velazquez and 3 more

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Investigating the Metabolic Effects of Ultrasound-Induced Lipolysis.International journal of molecular sciences · 2025
    Review
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

13 authors.

Gozde BaskoyDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.
Richard M PetersonDepartment of Surgery, University of Texas Health at San Antonio, San Antonio, TX, USA.
Jason KempenichDepartment of Surgery, University of Texas Health at San Antonio, San Antonio, TX, USA.
Curtis TriplittDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.
Marissa BrownDepartment of Radiology and Research Imaging Institute, University of Texas Health Science Center, San Antonio, TX, USA.
Geoffrey D ClarkeDepartment of Radiology and Research Imaging Institute, University of Texas Health Science Center, San Antonio, TX, USA.
Eugenio CersosimoDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.ORCID 0000-0002-2573-0208
Mark S AndrewAndrew Technologies, LLC, Haddonfield, NJ, USA.
Olga LavrynenkoDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.
Alberto O Chavez-VelazquezDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.
Andrea Hansis-DiarteDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.
Marzieh SalehiDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.
Ralph A DeFronzoDepartment of Medicine, Division of Diabetes, University of Texas Health Science Center and Texas Diabetes Institute, University Health System, San Antonio, TX 78229, USA.ORCID 0000-0003-3839-1724

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUM1TR004538 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI ROBERT A CLARK, Kenneth M Hargreaves · 2023 to 2026
$22.3M
First in Human Clinical Trial of Mesenteric Visceral Lipectomy in Subjects with Type 2 Diabetes and ObesityR44DK125159 · NIDDK · MEDALITY MEDICAL, LLC · PI ANDREW, MARK · 2020 to 2021
$1.2M
CTSA Predoctoral T32 at The University of Texas Health Science Center at San AntonioT32TR004545 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Yong-Hee Patricia Chun, Christopher R. Frei · 2023 to 2026
$1.1M
NCATS NIH HHS T32 TR004545NCATS NIH HHS UM1 TR004538NIDDK NIH HHS R44 DK125159
6 · The paper itself

Abstract

contextIncreased mesenteric visceral fat is associated with the metabolic syndrome, insulin resistance, and type 2 diabetes.

methodsUsing targeted cell separation and extraction technology (TC-SET), we examined the effect of removal of intra-abdominal fat, specifically small bowel mesenteric fat, on glycemic control and insulin sensitivity in 7 individuals with obesity and poorly controlled type 2 diabetes (T2D) (glycated hemoglobin [HbA1c] = 8.9% ± 0.2%; fasting plasma glucose [FPG] = 211 ± 12 mg/dL).

resultsAt month 6, both HbA1c and FPG significantly declined to 7.7% (P = .01) and 140 mg/dL (P < .01). At month 12, both the FPG (172 mg/dL, P = .02) and HbA1c (8.1%, P = .10) tended to increase. Time in range (continuous glucose monitoring) increased from 22% to 74% (month 6, P < .001) and 50% (month 12, P < .05). Suppression of endogenous (hepatic) glucose production increased from 29% to 45% (P < .05) and to 43% (P < .01) at months 6 and 12, respectively; whole-body (muscle) insulin-mediated glucose disposal did not change significantly at months 6 and 12. Body weight (106.8 to 103.3 kg) and percent body fat (33.3 to 31.6%) both decreased slightly (P < .05) at month 12. Hepatic fat content (hydrogen-1 magnetic resonance spectroscopy) decreased significantly (23.9 ± 3.7 to 19.1 ± 3.4%, P < .005) at month 12. Insulin secretion and disposition index during oral glucose tolerance testing increased more than 2-fold at month 6 (both P < .05), and these improvements persisted at 12 months.

conclusionMesenteric visceral lipectomy (MVL) shows potential as a novel, minimally invasive approach to improve glycemic control in patients with suboptimally controlled T2D, but further controlled studies are needed to confirm these findings and better understand the potential benefits of MVL.

Indexed as

Diabetes Mellitus, Type 2Glucose IntoleranceIntra-Abdominal FatLipectomyMesenteryAdultAgedBlood GlucoseFemaleGlucose Tolerance TestGlycated HemoglobinHumansInsulin ResistanceMaleMiddle AgedObesityBlood GlucoseGlycated Hemoglobinendogenous glucose productionglycemic controlinsulin secretioninsulin sensitivityintra-abdominal fatmesenteric visceral lipectomytargeted cell separation and extraction technologytype 2 diabetes

Identifiers

PMID39689013
PMCPMC12641534

What OpenQuestion holds

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Registered trials

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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.