Stomach Intestinal Pyloric Sparing Surgery or SIPS

AbstractPurpose of ReviewAs the field of bariatric surgery expands, the demand for a procedure that optimizes weight loss while minimizing complications grows ever higher. This paper proposes to give a rationale for this procedure as a salvage option for vertical sleeve gastrectomies (VSG) or as an initial bariatric procedure for patients requiring more weight loss and reduction in comorbidities than a VSG can offer. Stomach intestinal pyloric sparing surgery (SIPS) is a form of modified duodenal switch which is comprised a slightly larger than average vertical sleeve gastrectomy with a single postpyloric duodenal-enteral anastomosis with a common channel of 300  cm measured from the ileocecal valve.Recent FindingsRecent evidence supports robust weight loss of 21 BMI Units in one-year postoperative patients. Additionally, in 80 patients with 1-year postop, it revealed mean vitamin D level of 26  ng/ml. No patient had an albumin level less than 3.0 mg/dl. SIPS shows effective weight loss with minimal long-term issues.SummaryBy extending the common channel, nutritional results are encouraging without obvious compromise of weight loss. Furthermore, the consistency of results at the various locations highlights the operative efficacy. Hence, we expect an increasing number of bariatric practices to move in a similar direction.
Source: Current Surgery Reports - Category: Surgery Source Type: research