Stomach Intestinal Pylorus Sparing (SIPS) Surgery for Morbid Obesity: Retrospective Analyses of Our Preliminary Experience

Abstract

Modification of the classic DS to one with a single anastomosis and a longer common channel had effective weight loss results. Morbidity seems comparable to other stapling reconstructive procedures. Future analyses are needed to determine whether a SIPS procedure reduces the risk of future small bowel obstructions and micronutrient deficiencies.

Modificaciones anatómicas de la derivación biliopancreática con cruce duodenal: ¿Tienen algún rol futuro en la cirugía bariátrica y metabólica?

“…Mitzman et al, publicaron otra modificación del BPD-DS, ellos lo llamaron Stomach Intestinal Pylorus-Sparing (SIPS) 15 . Esta técnica es muy similar a SADI-S, pero se diferencia en que el asa eferente mide 300 cm versus 250 cm del SADI-S, y el tamaño de la calibración de la GVT es 42 versus 54-French del SADI-S. Los autores analizaron 123 pacientes, cuyo índice de masa corporal (IMC) promedio fue 49,4 ± 9,2 Kg/m 2 .…”

Comparative analysis of the single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) to established bariatric procedures: an assessment of 2-year postoperative data illustrating weight loss, type 2 diabetes, and nutritional status in a single US center

“…Recently, there have been several reports on the outcomes of SADI-S procedure [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. One of the articles published by Neichoy et al [16] on the midterm outcomes of SADI-S reported EWL of 88% at 24 months.…”

“…Based on clinical knowledge, expert opinion, and published peer-reviewed scientific evidence, the International Federation for the Surgery of Obesity and Metabolic Disorders considered the SADI-S (and its variant [stomach intestinal pylorus-sparing surgery]) an established bariatric procedure [14]. In recent years, there have been few reports on the short-and mid-term outcomes of this procedure [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]. In terms of weight loss, the SADI-S and RYGB had statistically similar weight loss; however, the weight loss was statistically higher in patients undergoing SADI-S procedure than SG [21,30].…”

Mid-term outcomes of gastric bypass weight loss failure to duodenal switch

“…In this study, the 2-year follow-up is important since the nadir of weight loss after DS is at 18 months statistically; thus, we are reporting the maximum weight loss a revisional DS patient can experience after this surgery. However, a vital point of this paper is the fact that this procedure has very good weight loss, but it in no way approaches the weight loss seen when SADS or RYDS are done as a primary procedure [29][30][31][32][33].…”