Evidence map›Paper›PMID 42311849›Full record

ArticleSurgical case reports2026

Reversal of Obesity-Related Spinal Epidural Lipomatosis after Metabolic and Bariatric Surgery: A Case Suggesting the Role of Ectopic Fat Reduction.

Yota Tanahashi, Akira Sasaki, Akira Umemura, Yusuke Suto, Takafumi Iwasaki, Akiko Kawakami, Toma Kawashima, Hiroyuki Nitta

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

8 authors.

Yota TanahashiDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Akira SasakiDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Akira UmemuraDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Yusuke SutoDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Takafumi IwasakiDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Akiko KawakamiDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Toma KawashimaDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.
Hiroyuki NittaDepartment of Surgery, School of Medicine, Iwate Medical University, Shiwa-gun, Iwate, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSpinal epidural lipomatosis (SEL) is a disorder characterized by excessive accumulation of epidural adipose tissue, resulting in spinal canal stenosis and neurological symptoms. In recent years, obesity-related SEL has been increasingly recognized as a manifestation of ectopic fat deposition associated with metabolic dysfunction and has been re-evaluated as a potentially reversible condition following weight reduction. However, reports describing radiological and clinical improvement of SEL after metabolic and bariatric surgery (MBS) remain limited, and this disease concept and therapeutic strategy have not yet gained sufficient attention in Japan. Herein, we report a case of SEL that improved following MBS. CASE PRESENTATION: A 49-year-old man with severe obesity (body weight 160 kg; BMI 48.3 kg/m

conclusionsMBS led to meaningful improvement in patient-oriented outcomes accompanied by radiological resolution of SEL. Obesity-related SEL may represent a reversible condition driven by ectopic fat accumulation, and MBS may serve as a therapeutic option in carefully selected patients.

Indexed as

ectopic fatmetabolic and bariatric surgeryobesitysleeve gastrectomyspinal epidural lipomatosis

Identifiers

PMID42311849
PMCPMC13271837

What Socratic holds

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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 Socratic graph.