Stomach Intestinal Pylorus Sparing (SIPS)

Stomach Intestinal Pylorus Sparing (SIPS) is an advanced bariatric surgical procedure that combines elements of both sleeve gastrectomy and gastric bypass surgery. This technique aims to promote weight loss by creating a smaller stomach pouch while preserving the pylorus, the valve that controls the passage of food from the stomach to the small intestine. By maintaining the pylorus function, the SIPS procedure helps in managing digestive processes and optimizing nutrient absorption.

Who Needs Stomach Intestinal Pylorus Sparing (SIPS)

SIPS is generally recommended for individuals who meet the following criteria:

• BMI and Health Conditions: Candidates typically have a BMI of 35 or higher with obesity-related health issues like diabetes, sleep apnea, or hypertension.
• Previous Weight Loss Attempts: Candidates should have attempted weight loss through diet, exercise, and other methods without achieving substantial or sustainable results.
• Medical Evaluation: Individuals must undergo a comprehensive medical evaluation to determine their eligibility for the SIPS procedure.
• Commitment to Lifestyle Changes: As with any bariatric surgery, candidates must be committed to adopting long-term dietary and lifestyle changes to support the success of the procedure.

When to See a Specialist

If you’ve been struggling with obesity and its associated health complications, it’s advisable to seek the guidance of a medical specialist. A bariatric surgeon can evaluate your health, discuss your weight loss options, and help you determine if the Stomach Intestinal Pylorus Sparing (SIPS) procedure is suitable for your individual needs.

Procedure

• Preparation: Prior to the surgery, you’ll undergo medical assessments, possibly including dietary changes and other preparations.
• Anesthesia: The procedure is performed under general anesthesia to ensure your comfort throughout.
• Creation of the Stomach Pouch: The surgeon will remove a significant portion of the stomach, creating a smaller pouch in a shape similar to a sleeve gastrectomy.
• Preservation of the Pylorus: Unlike traditional gastric bypass surgery, the pylorus is preserved, allowing food to pass into the small intestine more naturally.
• Roux-en-Y Connection: The small intestine is then reattached to the stomach pouch, creating a bypass for a portion of the small intestine to enhance weight loss.
• Closure and Recovery: After the procedure, the incisions are closed, and you’ll be closely monitored during the initial recovery phase.

Road to Recovery

Following the SIPS procedure, your recovery will involve a hospital stay for observation. Your diet will be gradually progressed, starting with clear liquids and advancing to solid foods over time. Regular follow-up appointments with your healthcare team are crucial to monitor your progress, adjust your dietary plan, and address any concerns.

Risk Management

As with any surgical procedure, Stomach Intestinal Pylorus Sparing (SIPS) carries certain risks, including infection, bleeding, and complications related to anesthesia. Collaborating closely with your healthcare providers, adhering to post-operative guidelines, and promptly reporting any unusual symptoms can help mitigate these risks.

Benefits of Stomach Intestinal Pylorus Sparing (SIPS)

• Effective Weight Loss: SIPS surgery often leads to significant and sustained weight loss, enhancing overall health and reducing obesity-related health risks.
• Preserved Digestive Function: The preservation of the pylorus maintains a more natural digestive process, potentially reducing the risk of certain nutritional deficiencies.
• Improved Metabolism: Some patients experience improved metabolic function, contributing to weight loss and better energy levels.
• Health Condition Improvement: Obesity-related health issues, such as diabetes and hypertension, may improve or resolve after the surgery.

Frequently Asked Questions about Stomach Intestinal Pylorus Sparing (SIPS)

1. How long does the procedure take?

The SIPS procedure typically takes around 2 to 4 hours, depending on individual factors.

2. Will I need to take supplements after SIPS surgery?

Yes, vitamin and mineral supplementation is usually recommended to prevent nutrient deficiencies.

3. What is the recovery time after SIPS surgery?

Recovery varies, but most individuals can return to work and regular activities within a few weeks.

4. Can I experience dumping syndrome with SIPS surgery?

Dumping syndrome, characterized by rapid gastric emptying, is less likely with SIPS due to the preserved pylorus.

5. Will I need to follow a specific diet after SIPS surgery?

Yes, you’ll receive dietary guidelines from your healthcare team to ensure optimal weight loss and nutrition.