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Stomach Intestinal Pyloric Sparing Surgery or SIPS

  • Bariatric Surgery (A. Ghaferi, Section Editor)
  • Published:
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Abstract

Purpose of Review

As 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 Findings

Recent 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.

Summary

By 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.

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Author information

Authors and Affiliations

  1. General and Bariatric Surgery Department, Lenox Hill Hospital, Northwell Health, 186th E 76th Street, 1st Floor, New York, NY, 10021, USA

    Mitchell Roslin, Sarah Pearlstein, Sarah Sabrudin & Andrew Brownlee

Authors
  1. Mitchell Roslin
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  2. Sarah Pearlstein
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  3. Sarah Sabrudin
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  4. Andrew Brownlee
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Corresponding author

Correspondence to Mitchell Roslin.

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Conflict of Interest

Dr. Roslin declares grants and personal fees from Medtronic, personal fees from J & J, personal fees from Gore, and other from ValenTX. Drs. Pearlstein, Sabrudin, and Brownlee declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical collection on Bariatric Surgery.

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Roslin, M., Pearlstein, S., Sabrudin, S. et al. Stomach Intestinal Pyloric Sparing Surgery or SIPS. Curr Surg Rep 4, 35 (2016). https://doi.org/10.1007/s40137-016-0157-y

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  • DOI: https://doi.org/10.1007/s40137-016-0157-y

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