SIPS surgery
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.[3]
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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).
- Weight loss is similar to DS.
- One of the best revision surgeries after failed RYGB, adjustable gastric banding (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 [needs closer nutritional follow-up].
- <1% incidence of bile reflux.
See also
References
- "Dr. Cottam | Bariatric Surgeon Salt Lake City, Utah | Sleeve Gastrectomy Provo". www.surgicalweightlossspecialist.com. Retrieved 2019-12-23.
- "Dr. Mitchell Roslin". nwhsurgicalweightloss.org. Northern Westchester Hospital, Mt Kisco NY. Retrieved 2019-12-23.
- Stomach Intestinal Pylorus Sparing (SIPS) Surgery
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)
- Surve, A.; Zaveri, H.; Cottam, D. (2016). "A video case report of stomach intestinal pylorus sparing surgery with laparoscopic fundoplication: A surgical procedure to treat gastrointestinal reflux disease in the setting of morbid obesity". Surgery for Obesity and Related Diseases. 12 (5): 1133–1135. doi:10.1016/j.soard.2016.04.001. PMID 27317604.
- Zaveri, H.; Surve, A.; Cottam, D.; Richards, C.; Medlin, W.; Belnap, L.; Cottam, S.; Cottam, A. (2015). "Stomach intestinal pylorus sparing surgery (SIPS) with laparoscopic fundoplication (LF): A new approach to gastroesophageal reflux disease (GERD) in the setting of morbid obesity". SpringerPlus. 4: 596. doi:10.1186/s40064-015-1396-6. PMC 4628040. PMID 26543731.
- Surve, A.; Zaveri, H.; Cottam, D.; Belnap, L.; Medlin, W.; Cottam, A. (2016). "Mid-term outcomes of gastric bypass weight loss failure to duodenal switch". Surgery for Obesity and Related Diseases. 12 (9): 1663–1670. doi:10.1016/j.soard.2016.03.021. PMID 27396548.
- Cottam, A.; Cottam, D.; Roslin, M.; Cottam, S.; Medlin, W.; Richards, C.; Surve, A.; Zaveri, H. (2016). "A Matched Cohort Analysis of Sleeve Gastrectomy with and Without 300 cm Loop Duodenal Switch with 18-Month Follow-Up". Obesity Surgery. 26 (10): 2363–9. doi:10.1007/s11695-016-2133-0. PMID 26992894. S2CID 19660687.
- Cottam, A.; Cottam, D.; Portenier, D.; Zaveri, H.; Surve, A.; Cottam, S.; Belnap, L.; Medlin, W.; Richards, C. (2017). "A Matched Cohort Analysis of Stomach Intestinal Pylorus Saving (SIPS) Surgery Versus Biliopancreatic Diversion with Duodenal Switch with Two-Year Follow-up". Obesity Surgery. 27 (2): 454–461. doi:10.1007/s11695-016-2341-7. PMID 27568033. S2CID 23644591.
- Surve, A.; Zaveri, H.; Cottam, D. (2016). "A safer and simpler technique of duodenal dissection and transection of the duodenal bulb for duodenal switch". Surgery for Obesity and Related Diseases. 12 (4): 923–924. doi:10.1016/j.soard.2016.02.022. PMID 27156009.
- Surve, A.; Zaveri, H.; Cottam, D. (2016). "Retrograde filling of the afferent limb as a cause of chronic nausea after single anastomosis loop duodenal switch". Surgery for Obesity and Related Diseases. 12 (4): e39–e42. doi:10.1016/j.soard.2016.01.018. PMID 27134196.
- Mitzman, B.; Cottam, D.; Goriparthi, R.; Cottam, S.; Zaveri, H.; Surve, A.; Roslin, M. S. (2016). "Stomach Intestinal Pylorus Sparing (SIPS) Surgery for Morbid Obesity: Retrospective Analyses of Our Preliminary Experience". Obesity Surgery. 26 (9): 2098–2104. doi:10.1007/s11695-016-2077-4. PMID 26932811. S2CID 7737567.
- Cottam, A.; Cottam, D.; Medlin, W.; Richards, C.; Cottam, S.; Zaveri, H.; Surve, A. (2016). "A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up". Surgical Endoscopy. 30 (9): 3958–64. doi:10.1007/s00464-015-4707-7. PMID 26694182. S2CID 27911781.
- Summerhays, C.; Cottam, D.; Cottam, A. (2016). "Internal hernia after revisional laparoscopic loop duodenal switch surgery". Surgery for Obesity and Related Diseases. 12 (1): e13-5. doi:10.1016/j.soard.2015.08.510. PMID 26433641.
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