Stomach Intestinal Pylorus-Sparing (SIPS) surgery is a type of
weight-loss surgery
Bariatric surgery (or weight loss surgery) includes a variety of procedures performed on people who are obese. Long term weight loss through the standard of care procedures ( Roux en-Y bypass, sleeve gastrectomy, and biliopancreatic diversion ...
. It was developed in 2013 by two U.S. surgeons, Daniel Cottam from Utah and Mitchell S. Roslin from New York.
It is substantively the same procedure as the
SADI surgery.
Technique
SIPS surgery is a modified version of
duodenal switch
The duodenal switch (DS) procedure, gastric reduction duodenal switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect.
The restrictive portion of the surgery involves removing approximate ...
(DS) surgery. The SIPS surgery involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy.
Stomach Intestinal Pylorus Sparing (SIPS) Surgery
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Advantages
#Greater weight loss than sleeve gastrectomy
Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube like struc ...
(SG).
#Greater weight loss than Roux-en-Y gastric bypass
Gastric bypass surgery refers to a technique in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both. Surgeons have developed several diff ...
(RYGB).
#Weight loss is similar to DS.
#One of the best revision surgeries after failed RYGB, adjustable gastric band
A laparoscopic adjustable gastric band, commonly called a lap-band, A band, or LAGB, is an inflatable silicone device placed around the top portion of the stomach to treat obesity, intended to decrease food consumption.
Adjustable gastric band s ...
ing (ABG), and SG.
#Better T2DM remission than RYGB and SG.
#Better cholesterol resolution than RYGB.
#No Roux limb side effects.
#Similar nutritional problems to RYGB and less than DS.
#Low risk of intestinal obstruction compared to RYGB and DS.
#No Dumping syndrome, unlike RYGB.
#No marginal ulcers, unlike RYGB.
Disadvantages
#Long-term data are not available.
#Procedure is still considered experimental in nature and not covered by insurance companies.
#Malabsorptive procedure eeds closer nutritional follow-up
#<1% incidence of bile reflux.
See also
SADI-S surgery
SADI-S (Single anastomosis duodeno–ileal bypass with sleeve gastrectomy) is a bariatric surgical technique to address metabolic disorders and to lose weight. It is a variation on the Duodenal Switch surgery, incorporating a vertical sleeve ...
References
Further reading
* Amit Surve, MD, Hinali Zaveri, MD, Daniel Cottam, MD, Christina Richards, MD, FACS, Walter Medlin, MD, FACS, Austin Cottam.
Laparoscopic Stomach Intestinal Pylorus Sparing Surgery in a Patient with Morbid Obesity and Situs Inversus; First Video Case Report.
Surg Obes Relat Dis. 2016. (Article in Press)
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*{{cite journal, pmid=26433641, year=2016, last1=Summerhays, first1=C., title=Internal hernia after revisional laparoscopic loop duodenal switch surgery, journal=Surgery for Obesity and Related Diseases , volume=12, issue=1, pages=e13-5, last2=Cottam, first2=D., last3=Cottam, first3=A., doi=10.1016/j.soard.2015.08.510, doi-access=free
Bariatric surgery