Introduction
The Stomach Intestinal Pylorus-Sparing (SIPS) surgery is a type of weight-loss surgery. It was invented in 2013 by a pair of U.S. surgeons, Dr. Daniel Cottam from Utah and Dr. Mitchell S Roslin from New York.
Contents
Technique
The SIPS is a modified version of duodenal switch (DS) surgery. The SIPS involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy.
Image
SIPS Surgery Image
Advantages
1. Greater weight loss than sleeve gastrectomy (SG).
2. Greater weight loss than Roux-en-Y gastric bypass (RYGB).
3. Weight loss is similar to DS.
4. One of the best revision surgeries after failed RYGB, adjustable gastric banding (ABG), 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
1. Long-term data not available.
2. Malabsorptive procedure [needs closer nutritional follow-up].
3. <1% incidence of bile reflux.