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I had the SIPS procedure (a.k.a.single-anastomosis duodenal switch), which is the new kid on the block. Similar to DS, but a simpler procedure which - in theory - means less risk of complications, and fewer side effects. For instance, because the channel is in the 250-300cm range, there are fewer Vitamin deficiency issues than traditional DS. Quote:

  • Patients report experiencing significantly less malabsorptive symptoms compared to a standard duodenal switch because the common channel length is almost twice that of a standard DS.

But as noted in my earlier post, there are people on forums who will say SIPS is still "experimental" or at the very least, has not been around long enough to support the above claims.

The single-anastomosis duodenal switch, also called stomach intestinal pylorus sparing surgery (SIPS), or the single loop DS, is very similar to the standard duodenal switchoperation, except that the small intestine is only transected at one point instead of two. With this operation, the majority of the most stretchable portion of the stomach is permanently removed (as in a sleeve gastrectomy) but basic stomach function remains the same. In addition, roughly half of the upper small intestine is bypassed, resulting in a moderate decrease in calorie absorption. Weight loss is achieved both through restriction of food consumption and malabsorption, which results in very good long-term weight loss maintenance.

http://www.centerforweightlosssurgery.com/service/weight-loss-surgery/single-anastomosis-duodenal-switch

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