Calling All SIPS Patients!

[Mojo56 88]

If you've had or going to have a gastric sleeve with SIPS I'd like to hear from you. About your journey. This is not the same as the DS procedure. I'm curious about your results and issues as we go thru the process. I know there are a few of us in the NC area but I'm sure there are more and more having this procedure.

[ProudGrammy 8,322]

gastric sleeve with SIPS

@@Mojo56

I feel like such a dummy

what is SIPS??????

58 lbs down!!!

keep up the good work

kathy

congrats

[snowbound 60]

never heard of sips,please explain to us

[Mojo56 88]

Below is some information about this relatively new procedure. my surgeon is participating in a study and I am in that study. Its to get some long term and short term info. This procedure could become the surgical cure for type 2 diabetes!

Here is some information regarding the SIPS procedure:

Single-Anastomosis Duodenal Switch or Stomach Intestinal Pylorus Sparing Surgery (SIPS)-Introduced in 2007

Single anastomosis duodenal switch (SIPS) primarily depends on intestinal malabsorption, but also utilizes gastric reduction to achieve weight loss. Firstly, a sleeve gastrectomy is performed to reduce the size of the stomach. The lowest part of the intestines, the ileum, is left undivided, but the duodenum is separated, leaving a small segment attached to the stomach and a longer free-hanging segment to which the liver and pancreas are attached. The ileum is brought up and re-connected to the duodenum segment. Digestion of Protein and fat only occurs in the lower portion, about 7 feet long, of the lower intestines.

SIPS is a new type of duodenal switch procedure that made its debut less than 5 years ago and is still under investigation. The main differences between the classic DS and SIPS are the following. There is only one anastomosis between the stomach and the small intestines, as opposed to two in the DS. SIPS creates a longer common channel (through which nutrients pass through) resulting in less frequent bowel movements, less side effects, and less Vitamin deficiencies.

On average, the surgery takes less than two hours to complete; patients are discharged 2-3 days post-op, and return to work after 2-4 weeks.

Advantages

•Greater weight loss results

•Effective procedure to lower cholesterol and triglycerides

•Effective procedure in remission of type-II diabetes

Disadvantages

•May result in less weight loss in the long germ than a classic DS

•Long-term results are still under investigation

Risks

•Bowel obstruction, 2-4% in cases

•Need for reversal or reoperation due to malnutrition, 2-5% in cases

•Leakage, <1% in cases

•Bleeding, <1% in cases

.

Edited January 18, 2015 by Mojo56

[Adriane5Sims 24]

I had the sleeve with SIPS with Dr. Enochs on 12/29/14.

[Mojo56 88]

Congrats! How are things going for you? I'm about 6 weeks before you. Any help I can give let me know.

[MsMcLeoud9 9]

Yes, im having the SIPS procedure on April 1st

[MsMcLeoud9 9]

Im going to have the procedure with Dr.Enochs, too Adriane!

[MsMcLeoud9 9]

I had the sleeve with SIPS with Dr. Enochs on 12/29/14.

Hey Adriane! Im due to,have the SIPS procedure on April 1st with Dr Enochs, what can you tell me about the procedure?

[Adriane5Sims 24]

Hi!! Do you want to know about after the procedure? I could write a short story on my before, during and after surgery.

[MsMcLeoud9 9]

Post op works for me

[Adriane5Sims 24]

Right after surgery the day of you cannot have anything to drink at all. You have to wait till the next day when they do a swallow test on you to check for leaks. When I woke up from surgery they had me on great pain meds. I did feel pressure in my chest from gas from surgery. My mouth was so super dry. They can give you these sponge things on a stick to run around in your mouth after you dip them in Water. Those were a lifesaver. I was woozy that night and they kept me on oxygen and I wore leg compressor things to prevent blood clots. I also had my catheter removed that night and starting peeing on my own. Day 2 after the swallow test when the doc said it was okay I started on Clear Liquids. They give you 1 oz of water and it has to take 15 to 30 minutes to drink that. I brought Isopure to the hospital and tried to start on some of that too. They will bring you a plate with Jello and broth. I could barely get any in. You have to record what you do get in and when you go to the bathroom so the nurses can monitor and they know when you are ready to go home. I stayed 2 nights total but some people only stay 1. Bring Chapstick and gas ex strips. On day 2 I used the gas ex and it helped. When I got home I progressed to full liquid like shakes on day 4 I think. I made the shakes and drank everything out of little medicine cups so I would only sip. I have lost almost 50 lbs total. I am over 2 months out and eat what I want now. My tastes have totally changed and I am not indulgent anymore. I gave up caffeine and soda a month before surgery. I used to eat sweets every day but now they just leave a bad taste in my mouth and I don't feel great later so I rarely eat any sweets. I drink water only and get my Protein from food now. I used shakes till about a month out. I do drink some milk every now and then too. I get hungry every couple hours now after my 1st meal but in the beginning I had no hunger for 2 weeks. I have never had dumping syndrome. I did have diarrhea and gas a lot after surgery but now I am very regular.

[maggie876 2]

@adrian5sims - thanks for sharing your story. I had SIPS procedure with Dr. Enochs on Friday, March 13. My hospital experience sounds a lot like yours. Everything has been great for me so far. Trying to get in my liquids and Protein each day. Great to hear that you are back to eating real foods that you can enjoy. I hope that happens as soon for me!

[Nicole Lynn Martin 2]

I had SIPS done by Dr Enochs Monday 3/16.

[maggie876 2]

I had SIPS done by Dr Enochs Monday 3/16.

Nicole- how are you doing so far?