Single anastomosis duodeno-ileal switch (SADI-S) or Stomach Intestine Sparing Surgery – known as SIPS for short – is a procedure that involves a sleeve gastrectomy being performed along with surgery to reroute the small intestine.
SADI-S weight loss surgery produces malabsorption to effect weight loss. It also produces good control for diabetes – greater than 95% – and other obesity-related illnesses. This is a variation of the procedure called Duodenal switch surgery. Duodenal switch is a very effective technique to facilitate weight loss in obese patients. It has been performed globally for over two decades with good long-term outcomes.
The SIPS procedure on the other hand is relatively new. The SIPS procedure is like the mini- gastric bypass version of the duodenal switch. It is done with one anastomosis and relies on malabsorption with limited restrictive component. The restrictive aspect of this type of weight loss surgery involves the removal of more than two-thirds, roughly 70% of your stomach. This part of the surgery is irreversible since the stomach is being surgically removed unlike a gastric bypass where no part of the stomach is removed.
It is recommended that a consultation with Mr Siva Gounder at one of our surgeries based in Perth be the first step should you be considering this type of surgery. Mr Gounder has performed many of these surgeries and can explain in detail the advantages and the disadvantages of such a surgical procedure.
Significant weight loss can be achieved using these procedures, in some cases in-excess of 80-90% of a person’s body weight can be lost if the correct lifestyle changes are adhered to post-surgery.
Patient’s suffering from diabetes can often see high remission rates.
There is very low incidence of dumping syndrome (see our blog on dumping syndrome).
Minimal risk of ulceration at the new joint (anastomosis).
There is a natural increase in malabsorption since this is the intention of the procedure. The body is limited in the amount of vitamins, minerals and calories it can absorb from food. So whilst it limits the ‘bad’ absorption, it also limits the ‘good’ too
Because of this fact, there is an increased requirement of dietary supplements, such as vitamins and proteins that need to be taken to reduce long term nutritional deficiencies.
This procedure does require close, long term follow up.
Fat malabsorption can result in frequent loose stools, abdominal cramping, and foul-smelling flatulence.
It is recommended that a consultation with Mr Siva Gounder at one of our surgeries based in Perth be the first step should you be considering this type of surgery.
Mr Gounder has performed many of these surgeries and can explain in detail the advantages and the disadvantages of such a surgical procedure.
There are risks with any type of surgery, these include infection, risk of leaks, and malabsorption.
There is a natural increase in malabsorption since this is the intention of the procedure. The body is limited in the amount of vitamins, minerals and calories it can absorb from food. So whilst it limits the ‘bad’ absorption, it also limits the ‘good’ too.
Because of this fact, there is an increased requirement of dietary supplements, such as vitamins and proteins that need to be taken to reduce long term nutritional deficiencies.
Fat malabsorption can result in frequent loose stools, abdominal cramping, and foul-smelling flatulence.
It is possible to achieve a loss of up to 80-90% excess weight, however specific results will differ for each individual. Please contact Mr Gounder for a consultation to find out how much weight you could lose.
The cost of SIPS Surgery is dependent on variety of factors. On average the cost of surgery is around $20,000 to $25,000 without private health insurance.
The total out of pocket costs of various Bariatric surgeries (including surgeon fees, anaesthetist and surgical assistant) for patients with Private Health Insurance (that have obesity surgery cover) range from $900 to $4,500.
This is dependent on various factors including type of health fund cover, primary or revisional surgery, type of surgery and anticipated complexity and time taken for the operation. The exact cost for your specific operation will be provided to you in writing well in advance. Please contact the practice to get specific details.
It is important follow the specific guidelines provided to you prior to your surgery, this includes not eating or drinking anything the night before so the stomach is empty to minimalise surgical risks.
You will be advised of any specific changes to medication and diet in the days or weeks before surgery if necessary.
Following your surgery you will spend some time recovering, and be administered pain medication. For the first few weeks you will follow a liquid diet. You will be given a specific diet plan to follow and it is important you follow this closely.
You will need to take vitamin and mineral supplements post surgery.
You will need to have a follow up after your procedure to monitor your specific individual health needs and progress.
How long does SADI-S/SIPS surgery take?
The procedure takes approximately 90 – 120 minutes, depending on the patient’s physical conditions. Patients are generally required to stay 2 nights in hospital for monitoring purposes.
How fast do you lose weight after SADI-S/SIPS surgery?
SADI-S/SIPS Surgery patients can expect to experience an 70% to 90% excess weight loss during their first year, provided the post-surgery guidelines are followed.
