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.
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.
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.
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.
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:
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.
Good candidates for SIPS are:
SIPS offers many advantages and also has some disadvantages.
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.
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.
Currently, the SIPS procedure is not covered by insurance. You will need to pay for the cost of your surgery out-of-pocket.
SIPS may be right for you if;
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.
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.
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.
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.
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.
It commonly takes 3 to 4 hours to complete the SIPS procedure.
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.
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.