| 释义 |
- Technique
- Image
- Advantages
- Disadvantages
- See also
- References
- Further reading
Stomach Intestinal Pylorus-Sparing (SIPS) surgery is a type of weight-loss surgery. It was developed in 2013 by two U.S. surgeons, Dr. Daniel Cottam from Utah and Dr. Mitchell S Roslin from New York. TechniqueThe SIPS is a modified version of duodenal switch (DS) surgery. The SIPS involves the creation of a 300-cm common channel with a single-anastomosis duodenal enterostomy.[1] ImageSIPS Surgery ImageAdvantages1. Greater weight loss than sleeve gastrectomy (SG). 2. Greater weight loss than Roux-en-Y gastric bypass (RYGB).{{Citation needed|date=January 2018|reason=Unverified Claim}} 3. Weight loss is similar to DS.{{Citation needed|date=January 2018|reason=Unverified Claim}} 4. One of the best revision surgeries after failed RYGB, adjustable gastric banding (ABG), and SG.{{Citation needed|date=January 2018|reason=Unverified Claim}} 5. Better T2DM remission than RYGB and SG.{{Citation needed|date=January 2018|reason=Unverified Claim}} 6. Better Cholesterol resolution than RYGB.{{Citation needed|date=January 2018|reason=Unverified Claim}} 7. No Roux limb side effects.{{Citation needed|date=January 2018|reason=Unverified Claim}} 8. Similar nutritional problems to RYGB and less than DS.{{Citation needed|date=January 2018|reason=Unverified Claim}} 9. Low risk of intestinal obstruction compared to RYGB and DS.{{Citation needed|date=January 2018|reason=Unverified Claim}} 10. No Dumping syndrome, unlike RYGB.{{Citation needed|date=January 2018|reason=Unverified Claim}} 11. No marginal ulcers, unlike RYGB.{{Citation needed|date=January 2018|reason=Unverified Claim}} Disadvantages1. Long-term data not available. 2. Procedure is still considered experimental in nature and not covered by insurance companies 2. Malabsorptive procedure [needs closer nutritional follow-up]. 3. <1% incidence of bile reflux. See alsoSADI-S surgeryReferences1. ^Stomach Intestinal Pylorus Sparing (SIPS) Surgery
Further reading- Amit Surve, MD, Hinali Zaveri, MD, Daniel Cottam, MD, Christina Richards, MD, FACS, Walter Medlin, MD, FACS, Austin Cottam. Laparoscopic Stomach Intestinal Pylorus Sparing Surgery in a Patient with Morbid Obesity and Situs Inversus; First Video Case Report.Surg Obes Relat Dis. 2016. (Article in Press)
- [https://www.ncbi.nlm.nih.gov/pubmed/27317604 Amit Surve MD, Hinali Zaveri MD, Daniel Cottam MD. A Video Case Report of Stomach Intestinal Pylorus Sparing Surgery (SIPS) with Laparoscopic Fundoplication (LF): A Surgical Procedure to Treat Gastrointestinal Reflux Disease (GERD) in the Setting of Morbid Obesity. Surg Obes Relat Dis. 2016 Jun;12(5):1133-5.]
- [https://www.ncbi.nlm.nih.gov/pubmed/26543731 Zaveri H, Surve A, Cottam D, Richards C, Medlin W, Belnap L, Cottam S, Cottam A. Stomach intestinal pylorus sparing surgery (SIPS) with laparoscopic fundoplication (LF): a new approach to gastroesophageal reflux disease (GERD) in the setting of morbid obesity.Springerplus. 2015 Oct 13;4:596.]
- [https://www.ncbi.nlm.nih.gov/pubmed/27396548 Amit Surve MD, Hinali Zaveri MD, Daniel Cottam MD, Austin Cottam, LeGrand Belnap MD, Christina Richards MD, F.A.C.S., Walter Medlin MD, F.A.C.S. Mid Term Outcomes of Gastric Bypass Weight Loss Failure to Duodenal Switch. Surg Obes Relat Dis. 2016 Mar 23. pii: S1550-7289(16)00111-8.]
- [https://www.ncbi.nlm.nih.gov/pubmed/26992894 Austin Cottam, Daniel Cottam MD, Mitchell Roslin MD, Samuel Cottam, Walter Medlin MD, F.A.C.S, Christina Richards MD, F.A.C.S., Amit Surve MD, Hinali Zaveri MD. A matched cohort analysis of sleeve gastrectomy with and without 300 cm loop duodenal switch with 18 month follows up.Obes Surg. 2016 Oct;26(10):2363-9.]
- [https://www.ncbi.nlm.nih.gov/pubmed/27568033 Austin Cottam, Daniel Cottam MD, Dana Portenier MD, Hinali Zaveri MD, Amit Surve MD, Samuel Cottam, LeGrand Belnap MD, Walter Medlin MD, F.A.C.S., Christina Richards MD, F.A.C.S. A Matched Cohort Analysis of Stomach Intestinal Pylorus Saving (SIPS) Surgery Versus Biliopancreatic Diversion with Duodenal Switch with Two-Year Follow-up. Obes Surg. 2016 Aug 28.]
- [https://www.ncbi.nlm.nih.gov/pubmed/27156009 Amit Surve MD, Hinali Zaveri MD, Daniel Cottam MD. A Safer and Simpler Technique of Duodenal Dissection and Transection of the Duodenal Bulb for Duodenal Switch. Surg Obes Relat Dis. 2016 May;12(4):923-4.]
- [https://www.ncbi.nlm.nih.gov/pubmed/27134196 Amit Surve MD, Hinali Zaveri MD, Daniel Cottam MD. Retrograde filling of the afferent limb as a cause of chronic nausea after single anastomosis loop duodenal switch.Surg Obes Relat Dis. 2016 May;12(4):e39-42]
- [https://www.ncbi.nlm.nih.gov/pubmed/26932811 Brian Mitzman MD, Daniel Cottam MD, Richie Goriparthi MD Msc, Samuel Cottam, Hinali Zaveri MD, Amit Surve MD, Mitchell S Roslin MD, FACS. Stomach Intestinal Pylorus Sparing Surgery for morbid obesity: Retrospective analysis of our preliminary experiences. Obes Surg. 2016 Sep;26(9):2098-104.]
- [https://www.ncbi.nlm.nih.gov/pubmed/26694182 Austin Cottam, Daniel Cottam MD, Walter Medlin MD FACS, Christina Richards MD FACS, Samuel Cottam, Hinali Zaveri MD, Amit Surve MD. A Matched Cohort Analysis of Loop Duodenal Switch versus Roux-en-Y Gastric Bypass with 18 Month Follow Up. Surg Endosc. 2016 Sep;30(9):3958-64.]
- [https://www.ncbi.nlm.nih.gov/pubmed/26433641 Summerhays C, Cottam D, Cottam A. Internal hernia after revisional laparoscopic loop duodenal switch surgery. Surg Obes Relat Dis. 2016 Jan;12(1):e13-5.]
1 : Bariatrics |