SIPS surgery

Type of bariatric surgery

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Stomach Intestinal Pylorus-Sparing (SIPS) surgery is a type of weight-loss surgery. It was developed in 2013 by two U.S. surgeons, Daniel Cottam[1] from Utah and Mitchell S. Roslin from New York.[2]

It is substantively the same procedure as the SADI surgery.

## Technique

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SIPS surgery is a modified version of duodenal switch (DS) surgery. The SIPS surgery involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy.

External image

SIPS Surgery Image

## Advantages

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1. Greater weight loss than sleeve gastrectomy (SG).
2. Greater weight loss than Roux-en-Y gastric bypass (RYGB).[citation needed]
3. Weight loss is similar to DS.[citation needed]
4. One of the best revision surgeries after failed RYGB, adjustable gastric banding (ABG), and SG.[citation needed]
5. Better T2DM remission than RYGB and SG.[citation needed]
6. Better cholesterol resolution than RYGB.[citation needed]
7. No Roux limb side effects.[citation needed]
8. Similar nutritional problems to RYGB and less than DS.[citation needed]
9. Low risk of intestinal obstruction compared to RYGB and DS.[citation needed]
10. No Dumping syndrome, unlike RYGB.[citation needed]
11. No marginal ulcers, unlike RYGB.[citation needed]

## Disadvantages

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1. Long-term data are not available.
2. Procedure is still considered experimental in nature and not covered by insurance companies.
3. Malabsorptive procedure [needs closer nutritional follow-up].
4. <1% incidence of bile reflux.

## See also

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SADI-S surgery

## References

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1. ^ "Dr. Cottam | Bariatric Surgeon Salt Lake City, Utah | Sleeve Gastrectomy Provo". www.surgicalweightlossspecialist.com. Retrieved 2019-12-23.
2. ^ "Dr. Mitchell Roslin". nwhsurgicalweightloss.org. Northern Westchester Hospital, Mt Kisco NY. Retrieved 2019-12-23.

## Further reading

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* Amit Surve, MD, Hinali Zaveri, MD, Daniel Cottam, MD, Christina Richards, MD, FACS, Walter Medlin, MD, FACS, Austin Cottam. Laparoscopic Stomach Intestinal Pylorus Sparing Surgery in a Patient with Morbid Obesity and Situs Inversus; First Video Case Report. Surg Obes Relat Dis. 2016. (Article in Press)
* Surve, A.; Zaveri, H.; Cottam, D. (2016). "A video case report of stomach intestinal pylorus sparing surgery with laparoscopic fundoplication: A surgical procedure to treat gastrointestinal reflux disease in the setting of morbid obesity". Surgery for Obesity and Related Diseases. 12 (5): 1133–1135\. doi:10.1016/j.soard.2016.04.001. PMID 27317604.1133-1135&rft.date=2016&rft_id=info:doi/10.1016/j.soard.2016.04.001&rft_id=info:pmid/27317604&rft.aulast=Surve&rft.aufirst=A.&rft.au=Zaveri,+H.&rft.au=Cottam,+D.&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Zaveri, H.; Surve, A.; Cottam, D.; Richards, C.; Medlin, W.; Belnap, L.; Cottam, S.; Cottam, A. (2015). "Stomach intestinal pylorus sparing surgery (SIPS) with laparoscopic fundoplication (LF): A new approach to gastroesophageal reflux disease (GERD) in the setting of morbid obesity". SpringerPlus. 4: 596. doi:10.1186/s40064-015-1396-6. PMC 4628040. PMID 26543731.
* Surve, A.; Zaveri, H.; Cottam, D.; Belnap, L.; Medlin, W.; Cottam, A. (2016). "Mid-term outcomes of gastric bypass weight loss failure to duodenal switch". Surgery for Obesity and Related Diseases. 12 (9): 1663–1670\. doi:10.1016/j.soard.2016.03.021. PMID 27396548.1663-1670&rft.date=2016&rft_id=info:doi/10.1016/j.soard.2016.03.021&rft_id=info:pmid/27396548&rft.aulast=Surve&rft.aufirst=A.&rft.au=Zaveri,+H.&rft.au=Cottam,+D.&rft.au=Belnap,+L.&rft.au=Medlin,+W.&rft.au=Cottam,+A.&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Cottam, A.; Cottam, D.; Roslin, M.; Cottam, S.; Medlin, W.; Richards, C.; Surve, A.; Zaveri, H. (2016). "A Matched Cohort Analysis of Sleeve Gastrectomy with and Without 300 cm Loop Duodenal Switch with 18-Month Follow-Up". Obesity Surgery. 26 (10): 2363–9\. doi:10.1007/s11695-016-2133-0. PMID 26992894. S2CID 19660687.2363-9&rft.date=2016&rft_id=https://api.semanticscholar.org/CorpusID:19660687#id-name=S2CID&rft_id=info:pmid/26992894&rft_id=info:doi/10.1007/s11695-016-2133-0&rft.aulast=Cottam&rft.aufirst=A.&rft.au=Cottam,+D.&rft.au=Roslin,+M.&rft.au=Cottam,+S.&rft.au=Medlin,+W.&rft.au=Richards,+C.&rft.au=Surve,+A.&rft.au=Zaveri,+H.&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Cottam, A.; Cottam, D.; Portenier, D.; Zaveri, H.; Surve, A.; Cottam, S.; Belnap, L.; Medlin, W.; Richards, C. (2017). "A Matched Cohort Analysis of Stomach Intestinal Pylorus Saving (SIPS) Surgery Versus Biliopancreatic Diversion with Duodenal Switch with Two-Year Follow-up". Obesity Surgery. 27 (2): 454–461\. doi:10.1007/s11695-016-2341-7. PMID 27568033. S2CID 23644591.454-461&rft.date=2017&rft_id=https://api.semanticscholar.org/CorpusID:23644591#id-name=S2CID&rft_id=info:pmid/27568033&rft_id=info:doi/10.1007/s11695-016-2341-7&rft.aulast=Cottam&rft.aufirst=A.&rft.au=Cottam,+D.&rft.au=Portenier,+D.&rft.au=Zaveri,+H.&rft.au=Surve,+A.&rft.au=Cottam,+S.&rft.au=Belnap,+L.&rft.au=Medlin,+W.&rft.au=Richards,+C.&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Surve, A.; Zaveri, H.; Cottam, D. (2016). "A safer and simpler technique of duodenal dissection and transection of the duodenal bulb for duodenal switch". Surgery for Obesity and Related Diseases. 12 (4): 923–924\. doi:10.1016/j.soard.2016.02.022. PMID 27156009.923-924&rft.date=2016&rft_id=info:doi/10.1016/j.soard.2016.02.022&rft_id=info:pmid/27156009&rft.aulast=Surve&rft.aufirst=A.&rft.au=Zaveri,+H.&rft.au=Cottam,+D.&rft_id=https://doi.org/10.1016%2Fj.soard.2016.02.022&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Surve, A.; Zaveri, H.; Cottam, D. (2016). "Retrograde filling of the afferent limb as a cause of chronic nausea after single anastomosis loop duodenal switch". Surgery for Obesity and Related Diseases. 12 (4): e39 – e42. doi:10.1016/j.soard.2016.01.018. PMID 27134196.e39+-+e42&rft.date=2016&rft_id=info:doi/10.1016/j.soard.2016.01.018&rft_id=info:pmid/27134196&rft.aulast=Surve&rft.aufirst=A.&rft.au=Zaveri,+H.&rft.au=Cottam,+D.&rft_id=https://doi.org/10.1016%2Fj.soard.2016.01.018&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Mitzman, B.; Cottam, D.; Goriparthi, R.; Cottam, S.; Zaveri, H.; Surve, A.; Roslin, M. S. (2016). "Stomach Intestinal Pylorus Sparing (SIPS) Surgery for Morbid Obesity: Retrospective Analyses of Our Preliminary Experience". Obesity Surgery. 26 (9): 2098–2104\. doi:10.1007/s11695-016-2077-4. PMID 26932811. S2CID 7737567.2098-2104&rft.date=2016&rft_id=https://api.semanticscholar.org/CorpusID:7737567#id-name=S2CID&rft_id=info:pmid/26932811&rft_id=info:doi/10.1007/s11695-016-2077-4&rft.aulast=Mitzman&rft.aufirst=B.&rft.au=Cottam,+D.&rft.au=Goriparthi,+R.&rft.au=Cottam,+S.&rft.au=Zaveri,+H.&rft.au=Surve,+A.&rft.au=Roslin,+M.+S.&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Cottam, A.; Cottam, D.; Medlin, W.; Richards, C.; Cottam, S.; Zaveri, H.; Surve, A. (2016). "A matched cohort analysis of single anastomosis loop duodenal switch versus Roux-en-Y gastric bypass with 18-month follow-up". Surgical Endoscopy. 30 (9): 3958–64\. doi:10.1007/s00464-015-4707-7. PMID 26694182. S2CID 27911781.3958-64&rft.date=2016&rft_id=https://api.semanticscholar.org/CorpusID:27911781#id-name=S2CID&rft_id=info:pmid/26694182&rft_id=info:doi/10.1007/s00464-015-4707-7&rft.aulast=Cottam&rft.aufirst=A.&rft.au=Cottam,+D.&rft.au=Medlin,+W.&rft.au=Richards,+C.&rft.au=Cottam,+S.&rft.au=Zaveri,+H.&rft.au=Surve,+A.&rfr_id=info:sid/en.wikipedia.org:SIPS+surgery" class="Z3988">
* Summerhays, C.; Cottam, D.; Cottam, A. (2016). "Internal hernia after revisional laparoscopic loop duodenal switch surgery". Surgery for Obesity and Related Diseases. 12 (1): e13-5. doi:10.1016/j.soard.2015.08.510. PMID 26433641.