A comprehensive review of small bowel length measurement: methodological challenges and variability factors.

IF 5 Q1 ENGINEERING, BIOMEDICAL
Maria Vittoria Mascolini, Lorenza Bonaldi, Ilaria Toniolo, Alice Berardo, Mirto Foletto, Marta Zerunian, Damiano Caruso, Gianfranco Silecchia, Mario Musella, Niccolò Petrucciani, Chiara Giulia Fontanella
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引用次数: 0

Abstract

The measurement of small bowel length (SBL) is crucial in clinical contexts such as surgical planning, assessment of nutritional absorption and management of conditions like short bowel syndrome (SBS) and Crohn's disease (CD). However, the literature reports substantial variations in measurements of average SBL, influenced by a multitude of methodological and patient-specific factors. The present review provides a comprehensive analysis of existing methodologies for SBL measurement, including intraoperative and radiologic approaches, detailing their strengths, limitations, and sources of error. The key factors influencing measurement variability are discussed, including methodological differences related to the measurement tool (e.g., intraoperative vs. imaging-based), bowel preparation process (e.g., stretching of the bowel), starting reference points. Additionally, inter-individual characteristics (e.g., height, BMI, sex) and population-specific factors (e.g., patients with SBS or CD) are assessed for their contribution to SBL variability. The aim pertains to informing clinical practice by providing a critical evaluation of measurement techniques and variability factors that impair standardized measurements of SBL to support research for clinical practice. .

小肠长度测量的综合综述:方法学的挑战和可变性因素。
小肠长度(SBL)的测量在外科手术计划、营养吸收评估和短肠综合征(SBS)和克罗恩病(CD)等疾病的治疗等临床环境中至关重要。然而,文献报告了平均SBL测量的实质性差异,受多种方法学和患者特异性因素的影响。本综述提供了对现有SBL测量方法的全面分析,包括术中和放射学方法,详细说明了它们的优势、局限性和误差来源。讨论了影响测量变异性的关键因素,包括与测量工具(如术中与基于成像)、肠准备过程(如肠拉伸)、起始参考点相关的方位法差异。此外,还评估了个体间特征(如身高、BMI、性别)和人群特异性因素(如SBS或CD患者)对SBL变异性的贡献。 ;目的是通过提供对测量技术和变异性因素的关键评估来告知临床实践,这些因素会损害SBL的标准化测量,以支持临床实践的研究。 。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.40
自引率
0.00%
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