Servet Karagül, Cüneyt Kayaalp

Department of Surgery, Liver Transplantation Institute, Malatya, Turkey


Objective: The aim of the present study was to contribute to the establishment of a standard method of small bowel measurement by comparing repeated small bowel length measurements with and without stretching in healthy individuals.
Material and Methods: Small bowel measurement was randomly performed in 24 healthy liver donors. Three repetitive measurements were performed with complete stretching in 12 cases; whereas, 3 consecutive measurements were made without any stretching in the other 12 patients. Living donor hepatectomy continued uneventfully in all cases.
Results: In the non-stretched group, the second measurement was 199 cm shorter than the first measurement (p< 0.001). In the third measurement, this shortening had increased further, and the difference from the first measurement was 234 cm on average (p< 0.001). In the stretched group, a shortening of approximately 135 cm between the first and second measurements was noted. In the third measurement, an improvement of 4% was observed in contrast to the non-stretched method, with a mean reduction of 105 cm in the small bowel length compared with the first measurement (p< 0.001).
Conclusion: Stretching technique can reduce error rate in repeated small bowel measurements.

Keywords: Bariatric surgery, human anatomy, metabolic surgery

Cite this article as: Karagül S, Kayaalp C. Repeated stretched or non-stretched small bowel length measurements in healthy individuals. Turk J Surg 2019; 35 (1): 1-5


Ethics Committee Approval

Ethics committee approval was received for this study from the Ethics Committee of İnönü University School of Medicine.

Peer Review

Externally peer-reviewed.

Author Contributions

Consept - C.K.; Design - S.K., C.K.; Supervision - C.K.; Resource - S.K., C.K.; Materials - S.K., C.K.; Data Collection and/or Processing - S.K., C.K.; Analysis and Interpretation - S.K., C.K.; Literature Search - S.K., C.K.; Writing Manuscript - S.K., C.K.; Critical Reviews - S.K., C.K.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.