Visceral fat is considered a key factor in the development of metabolic
syndrome and other pathological conditions and diseases associated with
obesity. Therefore, analysis of the dynamics of reducing the amount of
abdominal visceral fat is important for evaluating the therapeutic effects of
different modalities of obesity treatment, including bariatric surgery. In 53
obese patients visceral and subcutaneous abdominal adipose tissue was
measured by ultrasonography (US) before and after bariatric surgery, in the
period of 1, 3, 6 months. At the same time, standard anthropometric
parameters were assessed: body mass (m), BMI, waist circumference (WC), and
hip circumference (HC). Five diameters of the visceral abdominal fat (VAF)
were measured: IAFT (Intraabdominal Fat Thickness), LV (Lienal Vein), VF
(Visceral Fat), MES sum (Mesenterial leafs) and Max PFT (Maximal
Preperitoneal Fat Thickness), and three diameters of the subcutaneous
abdominal adipose tissue (SCAF): Min SFT (Minimal Subcutaneous Fat), and
MaxSFTa and MaxSFTb (Maximal Subcutaneous Fat Thickness a and b).
Statistically significant decrease in all anthropometric parameters, except
HC was registered 1, 3 and 6 months after the surgery. We registered the
decline of almost all US diameters of abdominal adipose tissue in the
follow-up period, but statistically significant decrease were found only in
the diameters of visceral adipose tissue: IAFT after 1 and 3 months (p=0.031
and p=0.027); VF after 1 month (p=0.031), LV after 6 months (p=0.011), and
MESsum after 3 and 6 months (p=0.001 and p=0.028), as well as MaxSFTb, at 1
month follow-up (p=0.015). In the short- term follow-up period after the
bariatric surgery, there was a significant decrease in body mass, BMI and WC,
and ultrasonography revealed a significant reduction in the diameters of the
visceral abdominal fat.