SIPS surgery


Stomach Intestinal Pylorus-Sparing surgery is a type of weight-loss surgery. It was developed in 2013 by two U.S. surgeons, Daniel Cottam from Utah and Mitchell S. Roslin from New York.

Technique

SIPS surgery is a modified version of duodenal switch surgery. The SIPS surgery involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy.

Advantages

  1. Greater weight loss than sleeve gastrectomy .
  2. Greater weight loss than Roux-en-Y gastric bypass.
  3. Weight loss is similar to DS.
  4. One of the best revision surgeries after failed RYGB, adjustable gastric banding, and SG.
  5. Better T2DM remission than RYGB and SG.
  6. Better cholesterol resolution than RYGB.
  7. No Roux limb side effects.
  8. Similar nutritional problems to RYGB and less than DS.
  9. Low risk of intestinal obstruction compared to RYGB and DS.
  10. No Dumping syndrome, unlike RYGB.
  11. No marginal ulcers, unlike RYGB.

    Disadvantages

  12. Long-term data are not available.
  13. Procedure is still considered experimental in nature and not covered by insurance companies.
  14. Malabsorptive procedure .
  15. <1% incidence of bile reflux.