Pathway to Success – SIPS (SADI-S) Surgery

Dr. Ravi Rao
June 17, 2019

02Likes

The Australian Bureau of Statistics National Health Survey 2017-18 indicated 67%, 2/3rds of Australian adults are overweight/obese, a considerable increase from 63.5% in 2014-15.The general assumption is that people who are overweight are just not disciplined enough for a fitter lifestyle and find it hard to abstain from food cravings. Obesity, on the contrary, is a chronic condition with clear signs and symptoms like other morbid diseases! If having those extra pounds are not enough misery, obesity brings a range of health issues like heart diseases, diabetes, hypertension, liver disease, and so forth.SIPS – Stomach Intestinal Pylorus Sparing Surgery is an efficient approach to get rid of those excess kilos and facilitate the process of absorbing and retaining required nutrients from the food intake.

The Procedure

In SIPS surgery, the upper part of the stomach which is relatively thin and easily stretched is removed, leaving behind a substantially smaller stomach pouch.

The intestinal length is shortened making the food consumed reach the end part of the intestine more rapidly. This process stimulates the cells in this region to release incretins that alter hunger and fullness and reduce the body’s uptake of calories from food consumed.

The procedure is similar to that of Roux en -Y gastric bypass surgery, but for one crucial difference. In SIPS, the pylorus/ pyloric valve is preserved. SIPS procedure was developed to alleviate the repercussions of the removal of pylorus that results in dumping syndrome, anastomotic ulcers, internal hernia etc

Case Studies

1. US national library of Medicine, National Institute of Health conducted a study on 225
patients who underwent SIPS bariatric surgery between 2013 and 2016. The results
suggested –

On average, the procedure facilitates losing more than 26 BMI (Body Mass Index)points at two years after surgery. It is an effective weight loss option
Complications were fewer with SIPS compared to other procedures
The body corresponded better to diabetes resolution
A comparison between the results of SIPS & Sleeve Gastrectomy at two years showed SIPS led to 30% better weight loss at two years and increased resolution to various co-existing morbid conditions.
The preservation of pylorus is a great advantage here. Pylorus controls solid
emptying; reduces the chance of dumping syndrome ( astate which manifests
abdominal discomfort, abnormal bowel evacuation, etc) and maintains a normal rate
of gastric emptying.

2. Stephanie Bergeron, an obese patient with diabetes and several other health issues, was finding it hard to lose weight. She heard about various weight loss surgeries, but on her doctor’s suggestion, she zeroed in on SIPS bariatric surgery. In Stephanie’s words “Life hasn’t been the same since. I can now feel the benefit of exercise; my quality of life has certainly improved, and I am down 88 pounds!”

3. Society of American Gastrointestinal & Endoscopic surgeons analysed 100 patients who underwent SIPS procedure. The data of people who underwent laparoscopic sleeve gastrectomy and laparoscopic roux-en-y gastric bypass were compared with SIPS outcomes.A 1-2 years analysis showed SIPS procedure is associated with a lower risk profile, an equivalent nutrition status, and increased weight loss.

Get rid of obesity with SIPS, and get a new lease of life.

Overweight and Obesity

A Patient’s Guide to Obesity

Stomach Intestinal Pylorus-Sparing Surgery for Morbid Obesity

SIPS Patient at Flaget Memorial Hospital

The Stomach, Intestinal and Pylorus Sparing (SIPS) Procedure; a Single Center Analysis of Our First 100 Patients

The FDA-approved drug ivermectin stromectol ivermectin inhibits the replication of SARS-CoV-2 in vitro.