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Roux-en-Y gastric bypass is considered the gold standard surgical technique for obesity. The variation in limb length may be related to metabolic improvement and nutritional deficiencies. However, the ideal measurement still a controversial subject in the literature. This study aims to perform an integrative literature review and associate the optimal limb length, considering the maximum weight loss with the minimum nutritional complications. Methods: Integrative literature review conducteddoi:10.11565/arsmed.v46i2.1766 fatcat:xjqh2ofvn5gephu2ai7xgqyocm