Stomach Intestinal Pylorus Sparing Weight Loss Surgery

Stomach Intestinal Pylorus Sparing Surgery in Dallas, TX

Stomach Intestinal Pylorus Sparing Weight Loss Surgery: A lot of people over the world are either overweight or obese. According to World Health Organization (WHO), more than 1.9 billion adults aged 18 years and older were overweight in 2016. Out of these 1.9 billion adults, over 650 of them were obese.

In 2019, 38.2 million children under five were estimated to be overweight or obese.

Somebody is said to be overweight if the person has a body mass index (BMI) equal to 25 or greater than 25. A somebody is said to be obese if the person has a BMI equal to 30 or greater than 30.

Overweight & obesity can cause many health conditions such as type-2 diabetes, cardiovascular diseases, musculoskeletal disorders, sleep apnea, certain cancers, and stroke.

Being overweight & obese is a serious problem that should be tackled in time to prevent all these associated diseases and health conditions.

Stomach intestinal pylorus sparing (SIPS) is a weight loss surgery that can be used to achieve drastic weight loss in people who are either overweight or obese.

What is Stomach Intestinal Pylorus Sparing Surgery (SIPS)?

Stomach Intestinal Pylorus-Sparing Surgery (SIPS) is a weight loss surgery involving reducing the size of your stomach and creating a bypass, so food can bypass part of the digestion process to facilitate weight loss. This is also known as a single-anastomosis duodenal switch.

The reduction of your stomach reduces the food you’re able to eat while bypassing part of the digestion process leads to malabsorption. This means your body will soak fewer calories from the foods you eat.

During a stomach intestinal pylorus sparing surgery procedure, a large portion of your stomach is removed, leaving a small stomach pouch. This is similar to a gastric sleeve. However, a gastric sleeve removes a more significant portion of the stomach than SIPS.

After removing a bit of the stomach, the intestines are rerouted so that food will bypass a part of the small intestine after leaving the stomach pouch. Almost half of the small intestine is forgotten. This is similar to gastric bypass. However, food passes through the pyloric valve in SIPS while food bypasses the pyloric valve in gastric bypass. The pyloric valve controls how fastly food leaves your stomach and enters your small intestine.

Stomach intestinal pylorus sparing surgery process can result in more than 80% of excess weight loss one year after having the procedure. The drastic reduction in weight after the SIPS procedure can help to improve your general health and obesity-related conditions such as diabetes, hypertension, cardiovascular diseases, sleep apnea, etc.

Quick facts about SIPS procedure

1. The SIPS procedure combines many benefits of both the gastric bypass and gastric sleeve.
2. It is restrictive. A large part of the stomach is extracted, leaving a small stomach pouch.
3. It is malabsorptive. The intestines are rerouted so that food will bypass a portion of the small intestine after leaving the stomach pouch.
4. It is non-reversible.
5. It is reserved for individuals with 50+ BMI. Individuals with BMIs of 50 and above are good candidates for SIPS. This is because SIPS allows 60-85% excess weight loss after only 18 months of the surgery.
6. It is effective remission of obesity-associated diseases and conditions. Drastic weight loss after SIPS procedure has been shown to treat type-2 diabetes, sleep apnea, asthma, and heart disease.
7. SIPS may soon replace gastric bypass.
8. No long-term studies on its effectiveness are available.

How stomach intestinal pylorus sparing (SIPS) surgery works

SIPS works by deflating the size of your stomach so that you cannot eat much food. The reduction in the size of food you can eat leads to a significant decrease in the number of calories that your body can absorb.

When food leaves your stomach pouch, it bypasses a significant part of your small intestine and goes into the large intestine. This bypass causes your body to absorb fewer calories from the foods you eat. SIPS also works by missing almost half of your small intestine.

SIPS provides drastic weight loss by combining gastric bypass and sleeve benefits. It works by delivering both stomach restriction and reduced absorption. It decreases the size of your stomach and your body’s ability to absorb calories from the foods you eat.

Benefits of SIPS Procedure

• It combines the benefits of both gastric sleeve and gastric bypass.
• It provides weight loss more significantly than a gastric sleeve or gastric bypass.
• It provides higher-resolution or remission of obesity-related diseases.
• Research suggests lower rates of complications such as ulcers, strictures, and small bowel obstruction.
• It provides less fluctuation in blood sugar than gastric bypass.

Stomach Intestinal Pylorus Sparing Surgery Technique 

SIPS surgery procedure is similar to a duodenal switch, but only one transverse cut is made to the small intestine instead of two.

The first part of SIPS surgery is to reduce the stomach size by performing a gastric sleeve, but slightly larger. A more significant part of the outside curve of the stomach is removed. The remaining portion of the stomach is attached using tiny metal staples. The stomach size is less to a capacity of approximately 120 ml.

The second part of SIPS surgery is bypassing the small intestine’s upper half by cutting off the upper half and attaching the lower leg to the remaining portion of the stomach. The first part of the duodenum just below the pylorus, which was detached from the upper half of the small intestine, is then attached to the lower half of the small intestine, thereby bypassing the upper half small intestine. The surgeon misses the upper half of the small intestine, at about 300 cm from the ileocaecal valve.

Food moves from the stomach’s remaining portion into the small intestine’s lower half and then into the large intestine. The stomach size is less, and the absorption rate is also reduced.

Risks of SIPS

SIPS is more technically tricky than gastric sleeve or gastric bypass. To decrease the risk of complications, it is essential to look for a well-trained, experienced bariatric surgeon for the surgery. There can be life-threatening complications if an experienced bariatric surgeon does not do the surgery.

Risks or complications that may occur include:

• Staple leak
• Anastomotic leak
• Drastic vitamins and nutrients deficiencies
• Portal vein thrombosis (formation of blood clots in the vein which passes through the bowel, under the stomach, and to the liver)
• Protein malabsorption
• Acid reflux
• Hiatus hernia (a condition where the junction between the esophagus and stomach slides up above the diaphragm into the chest)
• Stricture or narrowing in the stomach tube
• Difficulty swallowing or tolerating solid foods
• Bile reflux
• Gastric volvulus or twisting of the sleeve
• Barrett’s Oesophagus
• Excess skin can occur due to excess weight loss
• Hair loss may occur in the first six months after the surgery
• Inadequate weight loss & weight regain can occur, particularly when permanent lifestyle changes are not followed

SIPS Weight Loss Surgery vs. Gastric Bypass

SIPS is a weight loss surgery that combines gastric sleeve and gastric bypass surgery. The main difference between SIPS and gastric bypass is that food passes through the pyloric valve to the other half of the small intestine while food skips over the pyloric valve in the gastric bypass.

The pyloric valve is a ring of strength near the bottom of the stomach that controls how fastly food leaves the stomach and enters the small intestine.

Eligibility Criteria for Stomach Intestinal Pylorus Sparing Surgery in Dallas, TX

Good candidates for SIPS are:

• Individuals with BMIs of 50 and above.
• Individuals who continue to gain weight even after sleeve gastrectomy or gastric bypass.
• Individuals with obesity-associated diseases such as type-2 diabetes, sleep apnea, cardiovascular diseases, and stroke.
• Individuals suffering from severe oesophageal reflux and Barrett’s esophagus are not good candidates for SIPS surgery.

Pros and Cons of SIPS Procedure

SIPS offers many advantages and also has some disadvantages.

Pros of SIPS Procedure

• SIPS provides better weight loss results than gastric bypass and gastric sleeve surgery; SIPS helps you lose more weight. Its effects in 70-90% weight loss.
• It offers a lower risk of post-surgical complications such as blocked intestines, severe diarrhea, strictures, ulcers, and small bowel obstruction.
• It provides higher-resolution or remission of obesity-related diseases.
• It provides less fluctuation in blood sugar than gastric bypass.
• It offers a second chance to patients with previous weight loss surgery. It is a safe & effective alternative for patients who have already had bariatric procedures without success.

Cons of SIPS Procedure

• As with other surgical procedures, some potential risks or complications may occur after undergoing a SIPS procedure. Staple leak, drastic vitamin and nutrients deficiencies, acid reflux, bile reflux, narrowing in the stomach tube, difficulty swallowing, and portal vein thrombosis are some complications that may occur after SIPS surgery.
• SIPS is not yet covered by insurance; hence, you will need to pay for the cost of the procedure out-of-pocket.
• Additional research is still needed to thoroughly understand its long-term effectiveness.

Results of SIPS

Studies show that the SIPS procedure provides more significant weight loss than sleeve gastrectomy or gastric bypass. A study reported that patients lost an average of 40% of their excess weight within the first year after undergoing SIPS surgery. Studies have also shown that patients lose 80-90% of their excess weight after undergoing SIPS surgery.

The long-term effectiveness of SIPS surgery isn’t available because the procedure is relatively new.

What is the cost of Stomach Intestinal Pylorus Sparing Surgery in Dallas, TX?

The cost of SIPS surgery varies depending on various factors such as the surgeon’s expertise, location, and more. On average, SIPS surgery costs range from $20,000 to $25,000.

FAQ

Does insurance cover the stomach Intestinal Pylorus Sparing Surgery in Dallas, TX??

Currently, the SIPS procedure is not covered by insurance. You will need to pay for the cost of your surgery out-of-pocket.

Is the SIPS bariatric procedure right for me?

SIPS may be right for you if;

• Your body mass index is 50 or above.
• You are suffering from type 2 diabetes or any other obesity-related diseases.
• You have had gastric sleeve or gastric bypass surgery without success.
• You haven’t had any bariatric weight loss surgery and need to lose 200 pounds or more.

Before undergoing a SIPS procedure, consult your doctor or healthcare provider to know if SIPS is right for you. Your doctor will examine your medical history and conduct tests to determine if the surgery is right for you.

What is the complication rate for the SIPS procedure?

The short-term complication rate of SIPS procedures is 4.4%, while the long-term complication rate is 8%. The most common short-term complication of SIPS procedure is staple leak, while the most common long-term complication is diarrhea.

What can I expect after SIPS surgery?

During SIPS surgery, you will be administered general anesthesia to make you fall asleep and unconscious throughout the procedure.

After the surgery, you will remain in the hospital for 2-3 days, where you will be monitored and also spend some time recovering. When the effect of the anesthesia has worn out, you will start to feel pain. You will be administered pain medication to ease the pain.

You will follow a liquid diet for the first few weeks following your surgery as your stomach is still too tender for solid foods. You will be given a specific diet plan to follow as you recover. It is essential to follow your diet plan closely.

You will also be given vitamin and mineral supplements to compensate for your deficiencies.

SIPS surgery is irreversible since a more significant part of your stomach is surgically removed. You can lose up to 70-90% of your excess body weight.

You will continue to lose weight over several months. You must adhere to healthy lifestyle changes by eating low-fat diets and exercising.

Is SIPS the same as a mini bypass?

SIPS is similar to a mini bypass but is not the same as a mini bypass.

SIPS and mini bypass are both restrictive and malabsorptive. Both procedures decline the size of your stomach and the absorption of calories by the body.

The main difference between SIPS and mini bypass is while food passes through the pyloric valve in SIPS, food skips over the pyloric valve in mini bypass.

What is the difference between SIPS and SADI?

Stomach Intestine Sparing Surgery (SIPS) and Single Anastomosis Duodenal-ileal Switch (SADI-S) are the same bariatric procedure. SADI-S is commonly known as SIPS.

How long does SIPS surgery take?

It commonly takes 3 to 4 hours to complete the SIPS procedure.

Is SIPS the same as a duodenal switch?

No. SIPS is not the same as a duodenal switch. However, they’re similar because the duodenal switch combines the reduction of the stomach (restrictive) with intestinal bypass (malabsorptive).

In SIPS, there is only one opening between the stomach and the small intestine, while in the duodenal switch, there are two openings between the stomach and the small intestine.

KediaMD: Best Place to get Stomach Intestinal Pylorus Sparing Surgery in Dallas, TX?

If you’re obese or have a BMI of 50 and above, you should consider having SIPS. A SIPS procedure can effectively help you lose excess weight within the shortest time.

Due to the complex nature of this procedure, it is essential to choose a highly skilled and experienced bariatric or gastroenterology surgeon.

KediaMD, under the leadership of Dr. Prashant Kedia, is the best clinic to get Stomach Intestinal Pylorus Sparing Surgery in Dallas, TX.

Dr. Kedia is a highly skilled and extensively experienced gastroenterology surgeon who has successfully performed over 3000 complex endoscopic procedures.

He is a reputable gastroenterology surgeon and has shown high excellence over the years. He is board-certified and has been voted “Best Doctor” in Dallas.

Book an appointment with Dr. Kedia or visit us to learn more about SIPS.

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