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Calling All Sleevers with a SIPS



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We're different, we're not just Sleevers........we have a SIPS connection. So let's connect here! Pre op, post op doesn't matter. Our issues are slightly different than our sleeve friends. So let's here from you now! I'm post op 7 months, below goal weight and eat whatever. But there can be repercussions. I ve been throwing some small kidney stones. My doc says this should stop soon.

Anyone else?

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Just curious, what is a SIPS

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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

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Hi everyone. I am scheduled for SIPS this Wednesday(Rex hospital in Raleigh). I wish there was a forum for us since I agree we are slightly different than DS or the others. Any advice is greatly appreciated! Wonder how we start a new forum? Anyone know?

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I just read about SIPS in the past week or so. I wish I could have it, but it seems like it might be some time before it is wildly available and I can't wait any longer. In a few years if I am not where I need to be, maybe a revision to SIPS will be possible.

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I wonder how we go about getting our own forum?

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You could probably reach out to Alex, about creating a forum. Can't hurt to try

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Specifically the percentage of diabetes resolution. 95%. That's what I was after.

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SIPer here Dr Tyner

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    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
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    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
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        Congrats on the surgery!

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