SIPS/Turbo Sleeve
After a vertical sleeve gastrectomy, or Safe Sleeve, some clients experience weight regain – or they never met the weight loss goal they originally set out for. This does NOT make you a failure!
We are excited to announce that we now have a secondary procedure to offer clients who need additional assistance achieving their desired weight loss.
* This procedure is only performed as a revision
What Is the SIPS Procedure?
The single-anastomosis duodenal switch, also called stomach intestinal pylorus sparing surgery (SIPS) – or the Turbo Sleeve.
- Similar to the standard duodenal switch operation, except that the small intestine is only transected at the duodeum.
- The majority of the most stretchable portion of the stomach is permanently removed (as in a standard sleeve) but basic stomach function remains the same. (Since the procedure is only performed as a revision, there are no changes to the current ‘sleeve’ during the operation.)
- Roughly half of the small intestine is bypassed, resulting in a moderate decrease in calorie absorption.

Weight loss is achieved both through restriction of food consumption and malabsorption, which results in very good long-term weight loss maintenance.The SIPS procedure combines many of the benefits of both the gastric sleeve and the gastric bypass, including the following:
- Approximately 70% of excess weight loss
- Improvement/resolution in all major co-morbidities
- Little risk of “dumping” syndrome
- Provides predictable weight loss with great long-term success
- Minimal side effects typical of the duodenal switch
Who Is a Candidate for The SIPS Procedure?
The ideal candidate for the SIPS procedure meets the following criteria:
- Prior Gastric Sleeve Surgery, a minimum of 2 years post-op
- BMI of 30+
- Non-smoker
- Generally healthy
- Does not rely on NSAIDs for pain relief
- Ability to take supplements for life post-surgery, and ability to draw labs 4 times a year for the first year, then yearly thereafter
- Appropriate for outpatient surgery
