This revision option is for select patients who have had Gastric Sleeve and are considering revision options.
The Gastric Sleeve was initially discovered accidentally as "Stage 1" of a Duodenal Switch procedure. SIPS is a modification of the original "Stage 2" Duodenal Switch. Although the Gastric Sleeve with SIPS can be performed as a one stage procedure, we currently offer SIPS only as a 2nd stage revision procedure. This procedure is usually reserved for compliant patients who at the time of the sleeve surgery, had a BMI greater than 50.
During SIPS, the sleeve is generally left intact. Using minimally invasive techniques (laparoscopic and robotic), a single connection (anastomosis) is created between the distal portion of the small bowel (the ileum, 300cm from the end) and the first part of the small bowel (the duodenum). This allows decreased absorption of nutrients. It is effective at allowing additional significant weight loss after Gastric Sleeve in most patients who qualify. Since this a a malabsorptive procedure, it does require life-long vitamin supplementation, especially the fat-soluble vitamins (A, D, E and K) to avoid serious long-term complications from vitamin deficiencies.
Unlike a formal Duodenal Switch, there is much less chance of foul smelling, debilitating diarrhea (which would require additional surgery to correct).
For more information, please contact the office at 859-543-1577 to discuss.
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