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<p>This systematic review evaluated the role and measurement of total small bowel length (TSBL) in metabolic bariatric surgery (MBS) following PRISMA guidelines. Twenty-seven studies involving 6968 adult patients undergoing bariatric surgery with TSBL measurement were included. Outcomes of interest included TSBL, weight loss outcomes, comorbidities improvement/resolution, and the relationship between TSBL and weight loss outcomes. Mean TSBL ranged from 506.5&#xa0;cm to 795.0&#xa0;cm. Complications related to TSBL measurement occurred in six patients (0.2%), all small bowel perforations. Nutritional deficiencies ranged from 0.3% to 33.8%. In six studies, tailoring procedures according to TSBL was associated with fewer nutritional deficiencies than in controls. Adoption of standardized TSBL measurement protocol may have a notable impact on surgical outcomes with respect to reducing malabsorptive complications in highly malabsorptive procedures.</p>

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The Role of Total Small Bowel Length and its Measurement in Metabolic Bariatric Surgery. A Systematic Review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月7日

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  • Niccolo Petrucciani,
  • Chiara Cuzzocrea,
  • Margherita Floris,
  • Marta Zerunian,
  • Nunzio Velotti,
  • Paolo Aurello,
  • Marta Goglia,
  • Maria Vittoria Mascolini,
  • Mirto Foletto,
  • Chiara Giulia Fontanella,
  • Mario Musella,
  • Gianfranco Silecchia

摘要

This systematic review evaluated the role and measurement of total small bowel length (TSBL) in metabolic bariatric surgery (MBS) following PRISMA guidelines. Twenty-seven studies involving 6968 adult patients undergoing bariatric surgery with TSBL measurement were included. Outcomes of interest included TSBL, weight loss outcomes, comorbidities improvement/resolution, and the relationship between TSBL and weight loss outcomes. Mean TSBL ranged from 506.5 cm to 795.0 cm. Complications related to TSBL measurement occurred in six patients (0.2%), all small bowel perforations. Nutritional deficiencies ranged from 0.3% to 33.8%. In six studies, tailoring procedures according to TSBL was associated with fewer nutritional deficiencies than in controls. Adoption of standardized TSBL measurement protocol may have a notable impact on surgical outcomes with respect to reducing malabsorptive complications in highly malabsorptive procedures.