Bariatric Times

Sleeve Gastrectomy 2015

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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A6 Bariatric Times • April 2015 • Supplement A 5 th INTERNATIONAL CONSENSUS SUMMIT FOR SLEEVE GASTRECTOMY specifically asked. Resolution of type 2 diabetes mellitus (T2DM) mirrors that of the LDS. While it is still far too early to say if SIPS will have the same lack of weight recidivism that is seen in the LDS, initial reports 2 by Sánchez-Pernaute et al point to less than five percent at three years postoperative. CONCLUSION Review of the data on SIPS are very encouraging, yet this procedure in no way eliminates the LSG or LAGB as primary operations. SIPS should be reserved for those who have T2DM, body mass index above 50kg/m 2 , and/or severely elevated cholesterol, as LDS has shown to be superior in addressing these comorbidities. 3 Patients who wish to undergo an operation with the l owest recidivism rate might also be interested in SIPS as long as it is performed by surgeons with experience in hand-sewn anastomosis. REFERENCES 1. Marceau P1, Biron S, Marceau S, et al. Long-term metabolic outcomes 5 to 20 years after biliopancreatic diversion. Obes Surg. 2015 Feb 13. [Epub ahead of print] 2. Sanchez-Pernaute A, Herrera MA, Perez-Aguirre ME, et al. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI- S). One to three-year follow-up. Obes Surg. 2010(12):1720–1726. 3. Risstad H, Søvik TT, Engström M, et al. Five-year outcomes after laparoscopic gastric bypass and laparoscopic duodenal switch in patients with body mass index of 50 to 60: a randomized clinical trial. JAMA Surg. 2015 Feb 4. [Epub ahead of print] F i g u r e 1 . This chart shows the mean and standard deviations of percent excess weight loss at two years for each of the four major surgical procedures: duodenal switch (DS), Roux-en-y gastric bypass (RYGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB). Figure 2. Illustration of the SIPS or stomach and intestine pyloric sparing surgery Adapted from Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–1737.

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