Lenox Hill Hospital has pioneered Single Anastomosis Duodenal Switch, also known as SADS or SIPS procedures. In fact, this innovative operation was actually named here, and Dr. Roslin is considered one of its originators. Our facility is a major training center for other surgeons and their nutritional teams. Due to its advantages, this operation is now popular all over the world, and the research at Lenox Hill is largely responsible.
The Stomach Intestinal Pylorus-Sparing (SIPS) procedure, or Single-Anastomosis Duodenal Switch (SADS or SADI-S), is a weight loss procedure that combines stomach restriction and reduced absorption.
The procedure starts by reducing the stomach size, similar to a sleeve gastrectomy. After resizing the stomach, the duodenum (the upper part of the small intestine) is separated from the rest of the intestines just below the pyloric valve. The surgeon then connects a portion of the small intestine to the stomach, resulting in a longer path for nutrient absorption than the traditional Duodenal Switch procedure.
One key difference between SIPS and the traditional Duodenal Switch is that SIPS involves only one anastomosis, or opening, between the stomach and small intestine. The traditional Duodenal Switch procedure creates two openings. This procedure also avoids creating the Roux limb to reduce bowel obstruction risk. These modifications allow patients to enjoy maximal benefits with fewer risks.
What is SIPS Surgery Like?
Going through SIPS surgery is similar to other types of bariatric surgery. The surgeries are performed using minimally invasive techniques, which promotes faster recovery.
SIPS procedures tend to take slightly longer than Sleeve surgery, lasting around three to four hours. SIPS is an inpatient procedure with a short hospital stay. Most patients going home after surgery within 48 to 72 hours.
What are the Benefits and Risks of SIPS Bariatric Surgery?
Like any type of duodenal bypass surgery, SIPS surgery has benefits and risks.
Benefits of SIPS surgery may include:
- Patients lose more weight compared to sleeve gastrectomy or gastric bypass
- Diabetes goes into remission
- Potentially lower rates of ulcers, strictures, and small bowel obstruction
- More stable blood sugar levels compared to gastric bypass
- Comparable weight loss to the traditional Duodenal Switch with fewer complications
However, there are potential risks to consider with any type of bariatric surgery. Patients considering SIPS should be aware of the following:
- The potential risk for vitamin and mineral deficiencies, as with the traditional Duodenal Switch
- Limited long-term data compared to the traditional Duodenal Switch or gastric bypass due to SIPS being much newer
Lenox Hill Bariatric Surgery can help you see success with SIPS surgery. View our Educational Bariatric Seminar or give us a call at 1-888-949-9344 to learn more!
* Results may vary.