SIPS Bariatric Surgery
SIPS (STOMACH INTESTINAL PYLORUS PRESERVING SURGERY)
SIPS is an effective weight loss procedure. Certainly, the weight loss results are encouraging. Analyses of results suggest that on average, patients will lose over 12-19 BMI units, 1 year from surgery. SIPS combines a vertical sleeve that is slightly larger than standard VSG, with an intestinal shortening. procedure. By shortening intestinal length, combined with resection of the fundus and greater curvature, food consumed reaches the distal intestine more rapidly. this stimulates the cells in this region to release incretins that alter hunger and satiety. The preservation of 3 m of the intestine along with the ileocecal valve may reduce the risk of malnutrition and diarrhoea. bowel movements. Unlike the roux en y gastric bypass the pylorus is preserved in this operation.
The pylorus provides control of solid emptying,reducing the chances of dumping syndrome and assisting in maintaining a physiologically based rate of gastric emptying. Thus, with SIPS, our hope is that we can provide an efficacious procedure that offers improved quality of life, adequate intake and rely on the passage of ingested food into the faecal stream.
Benefits of SIPS
- Less protein Energy malnutrition and vitamin deficiencies.
- Facilitates absorption of iron, calcium and vitamin b12
- Beneficial effect on Diabetes
- Ability to eat Normally like with the sleeve
- No Dumping as pylorus is preserved
- No increased risk of anastomotic ulcers
- No increased risk of internal hernias
- Excellent technique for failed sleeves as it avoids anastomosis in area of adhesions and induration from prior surgery.
- Avoids the controversy of gastric cancer in the gastric remnant due to bile reflux as in Omega loop or Mini Gastric bypass.
Risks of SIPS
- Long term data beyond 5 years not available
- SIPS cannot be reversed.
- Increase in number of bowel movements to average 2.5 times.
- Cardiovascular Problems (especially with unidentified pre-existing heart disease): Heart attack, stroke or death.
- Respiratory Problems: Pneumonia, pulmonary embolus.
- Wound Problems: Wound infection (<5%), hernia development (1% for laparoscopic).
- Circulation: Problems includes blood clots in legs and blood clots migrating to lungs.
- Death Can Occur: For Laparoscopic Gastric Bypass (0.5 – 1%)