SIPS surgery
Type of bariatric surgery
From Wikipedia, the free encyclopedia
Stomach Intestinal Pylorus-Sparing (SIPS) surgery is a type of weight-loss surgery. It was developed in 2013 by two U.S. surgeons, Daniel Cottam[1] from Utah and Mitchell S. Roslin from New York.[2]
It is substantively the same procedure as the SADI surgery.
Technique
SIPS surgery is a modified version of duodenal switch (DS) surgery. The SIPS surgery involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy.
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 SIPS Surgery Image |
Advantages
- Greater weight loss than sleeve gastrectomy (SG).
- Greater weight loss than Roux-en-Y gastric bypass (RYGB).[citation needed]
- Weight loss is similar to DS.[citation needed]
- One of the best revision surgeries after failed RYGB, adjustable gastric banding (ABG), and SG.[citation needed]
- Better T2DM remission than RYGB and SG.[citation needed]
- Better cholesterol resolution than RYGB.[citation needed]
- No Roux limb side effects.[citation needed]
- Similar nutritional problems to RYGB and less than DS.[citation needed]
- Low risk of intestinal obstruction compared to RYGB and DS.[citation needed]
- No Dumping syndrome, unlike RYGB.[citation needed]
- No marginal ulcers, unlike RYGB.[citation needed]
Disadvantages
- Long-term data are not available.
- Procedure is still considered experimental in nature and not covered by insurance companies.
- Malabsorptive procedure [needs closer nutritional follow-up].
- <1% incidence of bile reflux.