Understanding SIPS: Surgical Correction for Failed Sleeve Gastrectomy

understanding-sips-surgical-correction-for-failed-sleeve-gastrectomySleeve gastrectomy is one of several bariatric procedures that facilitate weight loss in obese patients. Undergoing a sleeve gastrectomy ensures the desired weight loss results only if the patient is ready to adapt to post-surgery guidelines in terms of lifestyle changes. Patients that fail to adhere to the strict dietary and exercise regimen required after weight loss surgery often experience a relapse in  the long term. In the event of a relapse, the surgeon may recommend a revision surgery known as SIPS (stomach intestinal pylorus sparing surgery). It is fast becoming an option all over the world for patients who experience inadequate weight loss, regain weight, and efficacy in those with super morbid obesity. Continuing the discussion, the blog post discusses in detail about SIPS. Take a look.

How SIPS Works

SIPS is simple, safe, and gives the same results as in primary Duodenal Switch (DS) patients. It requires no new skills over doing a RY-DS or a RY-GBP. There are three major steps involved in performing SIPS surgery:

  • Creating a sleeve gastrectomy
  • Transecting the small intestine at the duodenum, just beyond the outlet valve of stomach (pylorus).
  • In a primary case , a major portion of the stretchable portion of the stomach is permanently removed while maintaining the basic stomach function.
  • Nearly half of the small intestine is bypassed via a loop that connects the lower part of the small intestine (ileum) to the opening at the duodenum. The loop is 300 cm in length.

Benefits of SIPS

  • It is a good option for people with failed sleeve gastrectomy.
  • Gives greater weight-loss results
  • Effective procedure to lower cholesterol and triglycerides
  • Effective procedure in remission of type-II Diabetes
  • Less frequent bowel movements and vitamin deficiencies owing to the longer common channel
  • Moving from sleeve gastrectomy to SIPS gastric surgery is technically simpler and has fewer complications than RY-GBP or RY-DS.
  • SIPS surgery, with minimum 300 cm of common channel, features similar metabolic and nutritional defects as a traditional RY-GBP and RY-DS.
  • Sleeve to SIPS procedure has lower long-term complications than other procedures involving similar malnutrition rate and weight loss profiles.

Success Stories

Surgeons in Quebec City, Quebec, Canada, shared some data at the ICCDS conference, which showed that staged sleeve to DS patients lost the same amount of weight long term as primary DS patients. In other findings published by Bariatric Times in Salt Lake City, it was found that patients that underwent conversion of SG to  SIPS, which is a modification of a traditional RY-DS to a loop DS, lost similar amounts of weight as primary surgeries performed in the first year after the SG.

Wrapping Up

Sleeve Gastrectomy is a common procedure for weight loss in obese people. SIPS is the new kid on the bariatric block designed to help patients who experience inadequate weight loss from GS or go through a relapse. Experts at Perth Surgical and Bariatrics perform Gastric sleeve on many obese patients and we deploy a treatment regime designed to mitigate chances of relapse in our patients long term. To learn more about GS, SIPS or any other weight loss or revision procedure, simply fill out our contact form, we will get back to you, shortly. You can also call us at 08 9370 9686.


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