: 10 trials involving a total of 366 patients met the inclusion criteria with a median follow-up time of 1 year after surgery. Adding omentectomy to bariatric surgery demonstrated a minimal, but statistically significant decrease in BMI compared to bariatric surgery alone (MD 1.29, 95% confidence interval (CI) 0.35 to 2.23, P=0.007, I2=0%, 10 trials). Conversely, patients who underwent bariatric surgery alone had significant increases in high-density lipoprotein (MD -2.12, 95%CI -4.13 to -0.11, P=0.04, I2=0%, 6 trials). Other metabolic outcomes and adipocytokines showed no significant difference between procedures.

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