{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T21:32:49Z","timestamp":1789421569427,"version":"build-2803163510"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Small bowel length measurements and estimation have high clinical importance, especially in bariatric surgeries to prevent postoperation malnutrition. This study aimed to investigate the possible correlation between demographic and anthropometric factors with small bowel length.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n This cross-sectional study was performed on 150 patients that were candidates of abdominal surgeries. Anthropometric factors including age, gender, weight, height, body mass index, right wrist and waist circumstance, length of the right hand 2\n nd<\/jats:sup>\n and 4\n th<\/jats:sup>\n fingers and 2\n nd<\/jats:sup>\n to 4\n th<\/jats:sup>\n finger ratio, and length of the right hemithorax were obtained. Whole length of the small bowel was measured during surgery from the ligament of Treitz to the ileocecal junction between the mesenteric and antimesenteric border of the intestine.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean small bowel length was 5.45 \u00b1 1.62 meters and significantly lower in women compared to men (\n P<\/jats:italic>\n = 0.003) and had a significant direct relationship with height (\n r<\/jats:italic>\n = 0.3,\n P<\/jats:italic>\n < 0.001), an inverse relationship to 2\n nd<\/jats:sup>\n to 4\n th<\/jats:sup>\n finger ratio (= \u22120.34,\n P<\/jats:italic>\n < 0.001). There were the same correlations between small intestine length with height and the 2\n nd<\/jats:sup>\n to 4\n th<\/jats:sup>\n finger ratio in open surgeries (\n P<\/jats:italic>\n < 0.05). There was a correlation between age (\n r<\/jats:italic>\n = 0.33,\n P<\/jats:italic>\n = 0.032), weight (\n r<\/jats:italic>\n = \u22120.60,\n P<\/jats:italic>\n , 0.001), waist circumstance (\n r<\/jats:italic>\n = \u22120.43,\n P<\/jats:italic>\n = 0.004), and length of the right hemithorax (\n r<\/jats:italic>\n = \u22120.47,\n P<\/jats:italic>\n = 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Using demographic and anthropometric factors, we could predict the small bowel length. These results could be further used in bariatric surgeries to avoid possible malnutrition.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/abr.abr_83_21","type":"journal-article","created":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T09:46:14Z","timestamp":1693475174000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Using Anthropometric and Demographic Factors to Predict Small Bowel Length to Prevent Malnutrition in Bariatric Surgery"],"prefix":"10.4103","volume":"12","author":[{"given":"Masoud","family":"Sayadishahraki","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Mahmoudieh","sequence":"additional","affiliation":[{"name":"Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behrooz","family":"Keleidari","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid","family":"Melali","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amin Hospital, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmood","family":"Heidary","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayed Mohsen","family":"Hosseini","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad Davud","family":"Qane","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"},{"name":"Isfahan Minimally Invasive Surgery and Obesity Research Center, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8]]},"reference":[{"key":"R1-20240830","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1056\/NEJMoa1614362","article-title":"Health effects of overweight and obesity in 195 countries over 25 years","volume":"377","year":"2017","journal-title":"New England journal of medicine"},{"key":"R2-20240830","doi-asserted-by":"crossref","first-page":"1822","DOI":"10.1007\/s11695-015-1657-z","article-title":"Bariatric surgery worldwide 2013","volume":"25","author":"Angrisani","year":"2015","journal-title":"Obes Surg"},{"key":"R3-20240830","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1001\/jama.2014.10706","article-title":"Long-term follow-up after bariatric surgery: A systematic review","volume":"312","author":"Puzziferri","year":"2014","journal-title":"JAMA"},{"key":"R4-20240830","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1007\/s11695-016-2050-2","article-title":"Small bowel limb lengths and roux-en-y gastric bypass: A systematic review","volume":"26","author":"Mahawar","year":"2016","journal-title":"Obes Surg"},{"key":"R5-20240830","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1007\/s00464-013-3361-1","article-title":"Causes of small bowel obstruction after roux-en-y gastric bypass: A review of 2,395 cases at a single institution","volume":"28","author":"Elms","year":"2014","journal-title":"Surg Endosc"},{"key":"R6-20240830","doi-asserted-by":"crossref","first-page":"100866.","DOI":"10.1016\/j.disamonth.2019.06.008","article-title":"Malnutrition in obesity before and after bariatric surgery","volume":"66","author":"Mohapatra","year":"2020","journal-title":"Dis Mon"},{"key":"R7-20240830","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1007\/s11695-013-1166-x","article-title":"The effect of bariatric surgery on intestinal absorption and transit time","volume":"24","author":"Carswell","year":"2014","journal-title":"Obes Surg"},{"key":"R8-20240830","doi-asserted-by":"crossref","first-page":"674.","DOI":"10.3390\/jcm10040674","article-title":"Bariatric surgery-how much malabsorption do we need? -A review of various limb lengths in different gastric bypass procedures","volume":"10","author":"Felsenreich","year":"2021","journal-title":"J Clin Med"},{"key":"R9-20240830","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/j.jamcollsurg.2018.07.657","article-title":"Remnant small bowel length in pediatric short bowel syndrome and the correlation with intestinal Dysbiosis and linear growth","volume":"227","author":"Engelstad","year":"2018","journal-title":"J Am Coll Surg"},{"key":"R11-20240830","first-page":"525","article-title":"The length of small bowel in Thai patients","volume":"97","author":"Lohsiriwat","year":"2014","journal-title":"J Med Assoc Thai"},{"key":"R12-20240830","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1016\/S0010-9452(08)70297-1","article-title":"The ratio of the 2nd to 4th finger length predicts spatialability in men but not women","volume":"41","author":"Sanders","year":"2005","journal-title":"Cortex"},{"key":"R13-20240830","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1080\/03014460310001620153","article-title":"Second to fourth digit ratio, body mass index, waist-to-hip ratio, and waist-to-chest ratio: Their relationships in heterosexual men and women","volume":"30","author":"Fink","year":"2003","journal-title":"Ann Hum Biol"},{"key":"R14-20240830","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.biopsycho.2004.05.001","article-title":"Finger length ratio (2D: 4D) correlates with physical aggression in men but not in women","volume":"68","author":"Bailey","year":"2005","journal-title":"Biol Psychol"},{"key":"R15-20240830","first-page":"2014","article-title":"Finger length ratios in Serbian transsexuals","author":"Vujovi\u0107","year":"2014","journal-title":"Scientific World Journal"},{"key":"R16-20240830","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/2000656X.2020.1828896","article-title":"Thorax anthropometric position index: A simple evaluation of the inframammary fold position in the thorax","volume":"55","author":"Fujisawa","year":"2021","journal-title":"J Plast Surg Hand Surg"},{"key":"R17-20240830","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1381\/0960892052993396","article-title":"Laparoscopic Roux-en-Y gastric bypass with 2-metre long biliopancreatic limb for morbid obesity: Technique and experience with the first 150 patients","volume":"15","author":"Leifsson","year":"2005","journal-title":"Obes Surg"},{"key":"R18-20240830","first-page":"1883","article-title":"Modulation de l'absorption intestinale postprandiale du glucose apr\u00e8s Roux-en-Y Gastric Bypass chez le miniporc","volume":"202","author":"Baud","year":"2018","journal-title":"Bull Acad Natl M\u00e9d"},{"key":"R19-20240830","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1007\/s00276-008-0398-2","article-title":"Evaluation of small bowel measurement in alive patients","volume":"30","author":"Hosseinpour","year":"2008","journal-title":"Surg Radiol Anat"},{"key":"R20-20240830","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1002\/ca.22238","article-title":"Intraoperative small bowel length measurements and analysis of demographic predictors of increased length","volume":"26","author":"Teitelbaum","year":"2013","journal-title":"Clin Anat"},{"key":"R21-20240830","doi-asserted-by":"crossref","first-page":"3062","DOI":"10.1007\/s11695-019-04019-8","article-title":"One Anastomosis gastric bypass-mini gastric bypass with tailored biliopancreatic limb length formula relative to small bowel length: Preliminary results","volume":"29","author":"Komaei","year":"2019","journal-title":"Obes Surg"},{"key":"R22-20240830","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.soard.2014.09.016","article-title":"Bowel length: Measurement, predictors, and impact on bariatric and metabolic surgery","volume":"11","author":"Tacchino","year":"2015","journal-title":"Surg Obes Relat Dis"},{"key":"R23-20240830","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/s11695-019-04238-z","article-title":"Correlation between the total small bowel length and anthropometric measures in living humans: Cross-sectional study","volume":"30","author":"Bekheit","year":"2020","journal-title":"Obes Surg"},{"key":"R24-20240830","doi-asserted-by":"crossref","first-page":"4697","DOI":"10.1007\/s00464-017-5538-5","article-title":"Accuracy and inter-operator variability of small bowel length measurement at laparoscopy","volume":"31","author":"Gazer","year":"2017","journal-title":"Surg Endosc"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_83_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:30:21Z","timestamp":1786725021000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_83_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_83_21","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8]]},"assertion":[{"value":"2021-04-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-31","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}