Bariatric Surgery SIPS procedure

Bariatric Surgery SIPS procedure


(upbeat music) (Stomach Intestinal Pylorus-Sparing Surgery – SIPS) – The SIPS procedure
is a procedure in which we combine a gastric bypass
and sleeve gastrectomy. It turns out to be almost
the perfect combination of the two, in the sense that we’re able to just cut and staple your stomach from the size of my two
hands and create the sleeve, and the sleeves gonna look
like a slender banana. The remaining 80% of the stomach should be removed from
the body permanently. Difference here with the gastric bypass is that the sleeve is gonna be intact and we will not have a small pouch like we do in a gastric bypass. We also preserve the pylorus,
which is really important in regards to satiety, feeling full and it also then combines a bypass, where we bring a loop of intestine deep down from your intestinal tract, back up to the pylorus and connect it. So you have an extended gastric bypass with the benefit of being able to eat a bigger and better variety of food, because you have a sleeve
instead of a pouch. – The SIPS would be an
ideal surgery for patients whose BMI is more than 35
with multiple co-morbidities, especially type 2 diabetes and also it’s a good surgery for patients who had inadequate weight
loss or weight re-gain in patients who had a
prior sleeve gastrectomy. – Growing up I’ve always
been over weight, I would get laughed at, made fun of,
I was tired all the time. I was always told that
I would lose weight, the older you get you get slimmer but that never happened,
I got bigger and bigger. – When I started driving
a truck, you know sitting there just eating and
drinking, I just lost control. Getting off and trying
to re-pump fuel or going to tie your tie or your bands or whatever on top of your truck, trying to climb up in the truck, I just couldn’t do it. I was just like, I can’t do this anymore, I just couldn’t breathe. I would walk from here to you
and I would be out of breath. – I contacted Dr. Reddy and I told him that I was ready to
have this procedure done and within a month everything
was approved and ready to go. – Preparation for any weight loss surgery requires you to really
look deep in your soul to realize the fact that these issues are starting to take a
hold of your overall health and or lifestyle and at that point you make your first
step by seeing a surgeon that offers all the procedures. It’s important to be
able to go to a surgeon that can give you the
counseling that you need to figure out whether the SIPS is right or the sleeve gastrectomy
or the gastric bypass which is the stalworth
of weight loss surgery. – He’s been a great doctor,
strict but real good. – I have to do this, not only for myself but for my little ones. – The goal of SIPS surgery is just like any other weight loss surgery,
to control your weight and also to improve your co-morbidities. Co- morbidities are probably
the most important zing word in bariatric surgery now, so we really perform bariatric surgery or weight loss surgery not
just for the weight loss aspect but also for the improvement
of diseases related to obesity, particularly diabetes. Diabetes is one of the best things that can be treated
with the SIPS procedure because it has a 95% success rate up to five years from the surgery. Our group at Metropolitan Methodist were the first group to
offer the robotic SIPS, was the first procedure done robotically in South Texas and or Central Texas. It is being built as the epicenter
for robotic SIPS surgery. The longterm results after SIPS surgery are probably one of it’s proudest moments. It’s one of the best
things that we’ve seen in weight loss surgery thus far, even thought the data is still young, we see that you can keep up to 85% of your access weight
off up to five years, which is where we have the data to so far. You have 95% resolution in diabetes, you have greater than
80% chance of being able to come off of your blood
pressure medications, almost a 75 to 80% chance of coming off of your sleep apnea machine. So it’s an extremely powerful tool and probably provides
the best one-two punch that we have in weight loss surgery. – You want your inner anatomies to match. – [Dr. Patel] And I
think the SIPS procedure is the best procedure to do robotically because it gives you a better sight of vision, there’s a
connection or an anastomosis that we have to make which
is relatively difficult to do whether you do it laparoscopically with your own two hands but the robot makes it much much easier to do and I think that’s
going to be the hallmark of where the robots fits
into bariatric surgery. – This is one of the first surgeries that’s done in the robotic
in Methodist System so we are pleased with the results and how they’re coming out and
the patients are very happy. – I have lost about 210
pounds since the procedure. Thought I ‘d never be like this again, so. – My friends and family since the surgery they’re happy when they see me. They tell me that they see the difference, that I’m losing weight, I’m healthy, I eat healthy, I made
a big lifestyle change. – To me, my advice to
everybody would be like, don’t think about it just do it because it’s gonna change your life. – Going through the
Metropolitan Methodist Hospital it was a smooth process, I felt at home, they treated me like family. – I was very, very pleased with the staff, from day one til the day I
left, they took care of me. (upbeat music)

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