SIPS Weight Loss Surgery: Should You Consider It? | ProCare Health (2022)

SIPS Weight Loss Surgery: Should You Consider It? | ProCare Health (1)

If you are interested in weight loss surgery, you should know there are options other than sleeve gastrectomy and gastric bypass surgery. Although it is a newer option, the stomach intestinal pylorus-sparing, or SIPS, weight loss surgery technique is a procedure you may want to consider.

The main difference between the SIPS and the DS surgeries is the presence of the pyloric valve as a functional part of the postsurgical anatomy. That means ingested food will still pass through the pylorus and into the small intestine after surgery. While the SIPS procedure is minimally invasive, it can take slightly longer than other types of bariatric surgery, lasting three to four hours.

SIPS Weight Loss Surgery: What is It?

Like the DS procedure, the SIPS surgery combines both restrictive and decreased absorption surgical components. It also combines the benefits of sleeve gastrectomy and gastric bypass surgery but provide greater weight loss results.

The SIPS procedure reduces the size of your stomach by creating a sleeve. Since the pyloric valve is retained, ingested food passes through the pylorus into the small intestine to help you lose weight.

(Video) What You Need to Know Before Surgery | UnityPoint Clinic Weight Loss

What is the Pyloric Valve?

The pyloric valve refers to a ring of muscles between your stomach and the entrance to the small intestine. Preserving pyloric valve functioning provides your body with essential health benefits, including:

  • It helps you absorb more nutrients from the foods you eat, which enables you to avoid nutritional deficiencies or problems.
  • It helps you avoid unpleasant complications, such as severe diarrhea and ulcer formation, since the body is able to break down food during the digestion process.
  • It helps you achieve better diabetes control by moving food through the digestive process in small batches instead of all at once.
  • It controls the rate at which food leaves the stomach and enters the small intestine.

The SIPS Procedure: How Does It Work?

Before the procedure, you will be placed under general anesthesia and will not feel any sensation during the procedure.

To begin, the surgeon will make up to five small incisions in the abdomen. Through the incisions, he or she will place the camera and a special instrument inside of your abdomen to complete the surgery.

Next, the surgeon fills your abdomen with carbon dioxide gas to create more space between the organs. By doing this, he or she will be able to carry out the procedure safely.

During the first part of the procedure, the surgeon will remove the stretchy, upper portion of your stomach while also sealing nearby blood vessels to control any bleeding.

To create a stomach pouch, the remaining portions of the stomach will be joined together using surgical staples. The stomach pouch will be a fraction of the size of your normal stomach.

Then, the surgeon will create a bypass by cutting your intestines past the pyloric valve and reroute them to the last portion of your small intestine. He or she will complete the surgery by removing the camera and instruments and closing the incisions with stitches.

As a result, food will leave the stomach pouch and bypass part of your small intestine, which will lead to a reduction in your consumption and absorption of calories. It will also reduce your levels of ghrelin, the hormone that causes hunger.

(Video) Nutrition Class with Kristin Gerhardt, Registered Dietitian

SIPS Weight Loss Surgery: Should You Consider It? | ProCare Health (3)

What is the Success Rate of SIPS?

According to recent studies, the SIPS procedure provides more significant weight loss than standard sleeve gastrectomy and gastric bypass surgery. In fact, studies have shown that patients lost 80 to 90 percent of their excess weight after SIPS surgery.

However, it is worth noting that SIPS is a relatively new procedure, which means long-term data beyond five years is not readily available at this time.

The Advantages of SIPS Surgery

The SIPS procedure offers many advantages over other surgical weight loss treatments. It combines the benefits of both gastric bypass and gastric sleeve surgery. Additionally, it can result in greater weight loss than any other bariatric procedure.

Improved Weight Loss Results

With a slightly larger sleeve than other bariatric procedures, the SIPS weight loss surgery procedure results in enhanced weight loss results than gastric bypass or gastric sleeve surgery. Most patients experience a majority of their weight loss results within the first six months after surgery.

Lower Risk of Post-Surgery Complications

Most bariatric procedures result in post-surgery complications. Due to the steady release of food from the stomach to the small intestines, SIPS surgery can help you avoid common post-bariatric complications, including blocked intestines and severe diarrhea.

Safe for Weight Loss Surgery Patients

SIPS is a safe option for patients who have had gastric bypass or gastric sleeve surgery but regained some of their weight or they are not satisfied with their weight loss results.

If you have had gastric sleeve surgery, the procedure is simple. Since you already have the pouch, your surgeon will only have to create the bypass. Typically, the procedure takes 30 to 40 minutes.

Other Advantages

Aside from enhanced weight loss results, the SIPS weight loss surgery provides other benefits, including:


  • Reduced ulcer formation and internal hernia (twisted bowel) rates
  • Reduced dumping syndrome and problems associated with low blood sugar
  • Improvement or remission of Type 2 diabetes

The Disadvantages of SIPS Surgery

There are disadvantages you should consider before deciding to have weight loss surgery. Before moving forward, you should consult your bariatric surgeon who can answer any questions or concerns you have regarding weight loss procedures.


Unfortunately, SIPS surgery is still considered an experimental technique, which means it is not covered by most insurance companies. If you want to undergo a SIPS procedure, you may have to pay for your medical costs out-of-pocket.

Lack of Available Information

The SIPS procedure was developed in 2013, which means it is a relatively new medical procedure. Although many patients achieve weight loss in the first year after surgery, researchers have not been able to confirm whether patients maintain their weight loss over time.

Potential Risk of Nutritional Deficiencies

SIPS weight loss surgery is a malabsorptive procedure, which means it changes the way your digestive system absorbs food. Therefore, you will have a higher risk of developing nutritional deficiencies and require closer nutritional follow-up than people who undergo gastric sleeve or gastric bypass surgery.

Other Disadvantages

Apart from the price and lack of available information, other disadvantages may impact your decision to undergo SIPS surgery:

  • An increase in bowel movements
  • An increased risk of leaks because of the two staple lines: one for your sleeve and one for your bypass

SIPS Weight Loss Surgery: Should You Consider It? | ProCare Health (4)

Vitamin & Nutrient Needs After SIPS Weight Loss Surgery

With SIPS weight loss surgery, the dramatic decrease in food and the inability to absorb nutrients can lead to inadequate nutrition that is required for the body to heal and function. That’s why bariatric-specific vitamins, minerals, and added protein are crucial to getting healthy and staying that way.

Instead of taking handfuls of vitamins multiple times per day, which gets tiresome and often leads to giving up, ProCare Health has created a chewable once-daily multivitamin that makes it simple! Our bariatric-specific vitamins and minerals offer easy-to-take, affordable, complete nutrition that you can sustain for life.

A Daily Bariatric Multivitamin: Look for a bariatric-specific multivitamin with folate, zinc, biotin, and vitamin D as well as adequate B vitamins. ProCare Health has several bariatric multivitamin choices – we have easy-to-digest, once-daily capsules or chewables that come with or without varying milligrams of iron for those with iron deficiency or anemia.

(Video) 12 Strategies for Ordering or Eating Out After Weight Loss Surgery

Calcium with Vitamin D: ProCare Health’s one-of-a-kind Calcium Dark Chocolate 500 mg Calcium Plus 500 IU Vitamin D bars are a favorite! Our melt-in-your-mouth, 65% bean-to-bar dark chocolate has less than 2g of sugar, is non-GMO, certified Kosher, gluten-free, soy-free, all-natural, and organic, and is made with Trucal®.

Trucal is an all-natural, lactose-free calcium with a higher absorption rate than that of calcium carbonate, and equal to or greater than calcium citrate. Unlike other calcium, Trucal offers a balanced profile of essential minerals and antioxidants that mirror what your bones are made of. It offers all the healthy parts of milk yet very low in lactose. Thus, making Trucal the superior choice for achieving optimal bone, hair, teeth, and neurological health. It’s even packaged in the USA. It really doesn’t get any better than this!

Protein: Protein is essential to overall health. Most doctors recommend protein supplements that are easily digestible and low in sugar, as eating enough protein after surgery can be difficult and lead to stomach upset.

ProCare Health has a few delicious, easy-to-absorb, convenient protein supplements. Sugar-free, gluten-free LiquiCel has 16 grams of liquid protein in 1 ounce and is packed with flavor (orange, watermelon, peach-mango, lemonade, grape). We also have lactose-free, gluten-free, easy-to-dissolve ProCel Whey Protein powder with 15 grams of protein – a perfect addition to shakes, smoothies, and even coffee.

SIPS Weight Loss Surgery: Should You Consider It? | ProCare Health (5)

ProCare Health Supports You on Your Wellness Journey

At ProCare Health, we know what a big decision bariatric surgery is and how complicated the post-surgical supplementation can be. If you need additional help or have any questions about our bariatric vitamins or supplements, our team is here for you. We celebrate that you’ve chosen to get healthy and would be honored to be part of your weight loss and new life journey! Please contact us today with questions, to get a free sample, or to place an order. 877-822-5808

SIPS Weight Loss Surgery: Should You Consider It? | ProCare Health (6)


At what weight should you consider weight loss surgery? ›

Medical guidelines

Weight-loss surgery might be an option for an adult with a BMI of 40 or higher. The surgery may also be an option for an adult who meets these three conditions: BMI of 35 or higher. At least one obesity-related medical condition.

What is the difference between sips and Sadi? ›

This procedure has two commonly used and interchangeable names. One name is SADI which stands for Single Anastomosis Duodeno-Ileo Bypass. The second name is SIPS which stands for Stomach Intestinal Pylorus Sparing Surgery.

Who should not get weight loss surgery? ›

But why might a patient not qualify for bariatric surgery? BMI: First and most obviously, they simply may not have a BMI that is high enough. A BMI of 35 or more with one or more obesity related conditions or BMI of 40 or greater regardless of obesity related conditions is required to have surgery.

What is the safest weight loss surgery you can have? ›

The Vertical Sleeve Gastrectomy is the most widely used, and safest, in the bariatric world. As with any major surgery, gastric bypass and other weight-loss surgeries pose potential health risks, both in the short term and long term.

Do you regret bariatric surgery? ›

They reported that up to 20% of patients who had undergone gastric banding expressed regret at having undergone the procedure, whereas approximately 4–8% of patients who had undergone RYGB scored >50 on the Decision Regret Scale (i.e., overall regret with their decision).

Why you shouldn't get gastric sleeve? ›

There are long term risks of gastric sleeve surgery as well. Many of them have to do with the fact that patients take in fewer nutrients than before. Longer-term gastric sleeve complications include gastrointestinal obstruction, hernias, gastroesophageal reflux, hypoglycemia, malnutrition, and vomiting.

What are 3 common long term complications of gastric bypass? ›

Longer term risks and complications of gastric bypass can include: Bowel obstruction. Dumping syndrome, causing diarrhea, nausea or vomiting. Gallstones.
  • Excessive bleeding.
  • Infection.
  • Adverse reactions to anesthesia.
  • Blood clots.
  • Lung or breathing problems.
  • Leaks in your gastrointestinal system.
Jun 25, 2022

How much weight do you lose in 3 months after gastric sleeve? ›

With ESG, individuals can expect to lose approximately 20-23% of their total body weight in the first 12 months. For example, a patient who currently weighs 250 pounds should lose about 25 pounds in the first 3 months and at the 12-months mark should weigh in the range of 192-200 pounds.

What is the easiest weight loss surgery? ›

Lap band surgery is the least invasive procedure for weight loss surgery, yielding the fastest recovery time.

Why is divorce rate so high after bariatric surgery? ›

Increased incidence of divorce and separation after bariatric surgery might be associated with increased tension in already vulnerable relationships or to improvements that empower patients to leave unhealthy relationships.

Do you poop more after gastric sleeve? ›

Conclusions. Constipation is a common problem after bariatric surgery. The decrease in bowel motion frequency and change towards firmer stools suggest prolonged intestinal transit time after bariatric procedures. Reduction in dietary fibre intake is likely to be a contributory factor.

What is the most common complication of bariatric surgery? ›

An anastomotic leak is the most dreaded complication of any bariatric procedure because it increases overall morbidity to 61% and mortality to 15%.

How many years does gastric sleeve last? ›

But they concluded that sleeve gastrectomy is effective nearly 6 years after the initial operation, with nearly 60% of excessive BMI still gone and a "considerable improvement or even remission" of comorbidities.

Can stomach grow back after gastric sleeve? ›

As such the answer to can your stomach grow back after weight loss surgery is NO, it will not grow back to its original size, but rather hold a capacity that allows the patient to have a long term normal life once they achieve their weight loss success.

How do you prevent saggy skin when losing weight? ›

How can you avoid loose skin while losing weight?
  1. Lose weight gradually. Although it may not always be an option, losing weight slowly is the best way to prevent loose skin. ...
  2. Lose weight by building muscle. ...
  3. Eat a balanced diet. ...
  4. Quit smoking. ...
  5. Stay hydrated. ...
  6. Protect your skin.

What is Candy Cane syndrome? ›

Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb.

What can't you do after gastric bypass? ›

Foods that can cause problems at this stage include:
  • Breads.
  • Carbonated drinks.
  • Raw vegetables.
  • Cooked fibrous vegetables, such as celery, broccoli, corn or cabbage.
  • Tough meats or meats with gristle.
  • Red meat.
  • Fried foods.
  • Highly seasoned or spicy foods.

Can a gastric bypass cause problems years later? ›

Long-term complications may include ulcers, scarring, and narrowing of the anastomosis (where the intestine is connected to the gastric pouch), known as a stricture. A drainage tract through the skin called a fistula may also develop. A fistula could develop between the gastric pouch and the bypassed stomach.

How do I tighten my skin after bariatric surgery? ›

What to Do About Loose Skin After Bariatric Surgery
  1. Plan Your Meals Around Protein. One of the things to expect after weight loss surgery is a change in your diet. ...
  2. Take Vitamins That Promote Skin Elasticity. ...
  3. Stay Hydrated. ...
  4. Alternate Cardio With Strength Training. ...
  5. Medical and Med Spa Treatments.

Why did I stop losing weight after gastric sleeve? ›

Some Patients Plateau

Plateaus are common on any weight loss journey, and the weight loss journey after getting the gastric sleeve procedure is no exception. The reason this happens is that your metabolism will simply acclimate to the reduced caloric intake in order to keep your body operating properly.

How can I speed up weight loss after gastric sleeve? ›

With the right habits, you can lose 60-70% of your excess weight within a year.
  1. Choose nutrient-dense foods. You don't have a lot of room in your stomach after surgery, so don't fill up on empty calories. ...
  2. Protein, protein, protein. ...
  3. Plan your meals. ...
  4. Stay away from beverage calories. ...
  5. Chew thoroughly. ...
  6. Exercise.

What is the best weight loss surgery 2022? ›

Duodenal Switch Surgery

Duodenal switch is not reversible but is considered the best weight loss surgery when measuring the most significant weight loss in patients.

What is the newest weight loss procedure? ›

Endoscopic sleeve gastroplasty is a newer type of minimally invasive weight-loss procedure. In endoscopic sleeve gastroplasty, a suturing device is inserted into your throat and down to your stomach. The endoscopist then places sutures in your stomach to make it smaller.

Why dont they do lap band surgery anymore? ›

Many patients have the band removed because it slips off or deteriorates to the point of needing replacement surgery. In other cases, people choose to have their bands removed because of the strict diet, lack of weight-loss results and potentially painful side effects.

What are the disadvantages of bariatric surgery? ›

Some bariatric surgery risks include:
  • Acid reflux.
  • Anesthesia-related risks.
  • Chronic nausea and vomiting.
  • Dilation of esophagus.
  • Inability to eat certain foods.
  • Infection.
  • Obstruction of stomach.
  • Weight gain or failure to lose weight.

Who is a good candidate for weight loss surgery? ›

You typically qualify for bariatric surgery if you have a BMI of 35 or greater, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure.

How much do you have to weigh for gastric sleeve? ›

Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea. Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate.

Can your body reject gastric bypass? ›

Dumping syndrome after gastric bypass surgery is when food gets “dumped” directly from your stomach pouch into your small intestine without being digested. There are 2 types of dumping syndrome: early and late. Early dumping happens 10 to 30 minutes after a meal. Late dumping happens 1 to 3 hours after eating.

What are 3 common long term complications of gastric bypass? ›

Longer term risks and complications of gastric bypass can include: Bowel obstruction. Dumping syndrome, causing diarrhea, nausea or vomiting. Gallstones.
  • Excessive bleeding.
  • Infection.
  • Adverse reactions to anesthesia.
  • Blood clots.
  • Lung or breathing problems.
  • Leaks in your gastrointestinal system.
Jun 25, 2022

What is the life expectancy after gastric bypass? ›

The adjusted median life expectancy in the surgery group was 3.0 years (95% CI, 1.8 to 4.2) longer than in the control group but 5.5 years shorter than in the general population. The 90-day postoperative mortality was 0.2%, and 2.9% of the patients in the surgery group underwent repeat surgery.

What percentage of bariatric patients regain weight? ›

Dietitian Amanda Clark said weight regain following bariatric surgery can be very disheartening for patients. Typical early weight loss following bariatric surgery ranges from 47–80% of excess weight. However, typical weight regain is 15–25% of that lost weight.

How many times can you have gastric bypass? ›

However, a second surgery has an increased risk of complications, including infection, bleeding and leaks in the gastrointestinal tract. Because of these risks, gastric bypass surgery usually isn't redone if you regain weight because of poor diet or exercise habits.

What is considered a comorbidity for weight-loss surgery? ›

“In a nutshell, to qualify for bariatric surgery, you must have a BMI of 35 to 40 with an obesity-related disease, or comorbidity, like high blood pressure, diabetes, high cholesterol, osteoarthritis or sleep apnea,” Mary said.

What is the age limit for bariatric surgery? ›

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

How long does gastric sleeve last? ›

To perform a sleeve gastrectomy, the surgeon creates a narrow sleeve by stapling the stomach vertically and removing the larger, curved part of the stomach. Surgery usually takes one to two hours.

How much should a 5 3 female weigh? ›

Height and Weight Chart
5' 2"104 to 135 lbs.136 to 163 lbs.
5' 3"107 to 140 lbs.141 to 168 lbs.
5' 4"110 to 144 lbs.145 to 173 lbs.
5' 5"114 to 149 lbs.150 to 179 lbs.
17 more rows

How much should a 5 4 female weigh? ›

The National Heart, Lung, and Blood Institute indicates that a healthy weight for a woman who is 5 feet, 4 inches tall ranges from 110–140 pounds with a BMI of 19–24.

How do you poop after bariatric surgery? ›

Relief for constipation after bariatric surgery

Also, try these tips to avoid constipation after bariatric surgery: Stay hydrated: Drink adequate fluids to help soften your stool. You should drink at least 48 ounces per day. Exercise: Take frequent short walks throughout the day, as tolerated.

What is the most common complication of bariatric surgery? ›

An anastomotic leak is the most dreaded complication of any bariatric procedure because it increases overall morbidity to 61% and mortality to 15%.

What is Candy Cane syndrome? ›

Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb.


1. Bariatric Surgery - Let's talk about vitamins!
(That Bariatric Surgery Guy)
2. Eating for Life Support Group with ProCare Health!
(ProCare Health Vitamins and Supplements)
3. 3 Reasons Why It’s Hard to Follow Your Eating Plan – with Featured Speaker Mabel Joseph
(ProCare Health Vitamins and Supplements)
4. Alexandra Rodriguez Hitting Weight Loss Plateau 7 Months After Surgery
(Chikara Transformations)
5. Nutrition Video Pre op Class 2020
(CHN Bariatrics)
6. Joint Replacement Course Shoulder Surgery
(Memorial Medical Center)

Top Articles

Latest Posts

Article information

Author: Melvina Ondricka

Last Updated: 12/23/2022

Views: 6398

Rating: 4.8 / 5 (48 voted)

Reviews: 95% of readers found this page helpful

Author information

Name: Melvina Ondricka

Birthday: 2000-12-23

Address: Suite 382 139 Shaniqua Locks, Paulaborough, UT 90498

Phone: +636383657021

Job: Dynamic Government Specialist

Hobby: Kite flying, Watching movies, Knitting, Model building, Reading, Wood carving, Paintball

Introduction: My name is Melvina Ondricka, I am a helpful, fancy, friendly, innocent, outstanding, courageous, thoughtful person who loves writing and wants to share my knowledge and understanding with you.