Introduction to Sadi-S Procedure

Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy

Introduction to SADI-S

Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, commonly referred to as SADI-S, represents a significant advancement in the field of bariatric surgery. This innovative weight loss surgery merges the proven benefits of sleeve gastrectomy with an intestinal bypass, offering a powerful solution for individuals struggling with severe obesity and related health conditions. As a form of metabolic and bariatric surgery, SADI-S is specifically designed to help patients achieve long-term weight loss while also addressing obesity-related conditions such as high blood pressure, type II diabetes, and sleep apnea. Unlike the traditional duodenal switch, SADI-S is a newer operation that simplifies the process by requiring only one intestinal connection. This single anastomosis approach not only streamlines the procedure but also reduces the risk of certain complications, making it an appealing option for those seeking effective and lasting weight management.

What is the SADI-S Procedure?

The SADI-S procedure is performed in two key stages to maximize weight loss and metabolic benefits. First, the surgeon carries out a sleeve gastrectomy, removing a large portion of the stomach to create a smaller, tube-shaped stomach. This step limits the amount of food that can be eaten, resulting in fewer calories consumed and helping to control hunger. Next, the procedure involves an intestinal bypass, where the small intestine is divided and the remaining portion of the stomach is connected to a lower segment of the intestine. This creates a loop that bypasses a significant section of the digestive tract, reducing the absorption of calories and nutrients. The SADI-S is typically performed using minimally invasive techniques with small incisions, which can lead to a quicker recovery, less discomfort, and a lower risk of complications compared to traditional open surgery. By combining restriction and malabsorption, SADI-S offers a comprehensive approach to weight loss and improved health.

How the SADI-S Procedure Works and Its Advantages

SADI-S works by harnessing the dual power of restriction and malabsorption. By reducing the stomach’s size, patients naturally eat less food and experience less hunger, while the bypassed portion of the small intestine means the body absorbs fewer calories and nutrients from what is consumed. This combination leads to greater weight loss than many other bariatric surgery options, such as gastric bypass, and is particularly effective for improving obesity-related conditions like high blood pressure, type II diabetes, and sleep apnea. One of the standout advantages of SADI-S is the preservation of the pylorus, the valve that controls food leaving the stomach, which helps maintain a sense of fullness and reduces the risk of bile reflux and dumping syndrome. Additionally, the single intestinal connection lowers the risk of internal hernias and other complications, supporting safer long-term outcomes. For patients seeking a treatment that delivers significant, sustained weight loss and improved metabolic health, SADI-S stands out as a leading choice.

Disadvantages of the SADI-S Procedure

Despite its many benefits, the SADI-S procedure does come with certain drawbacks that patients should consider. The malabsorptive component of the surgery means that the body absorbs fewer vitamins and minerals, making lifelong supplementation with essential nutrients a necessity to prevent deficiencies. Some patients may experience frequent bowel movements, diarrhea, or foul-smelling gas, especially after eating foods high in fat. There is also a risk of bowel obstruction, which, while less common, is a serious complication that requires prompt medical attention. Additionally, the cost of SADI-S may not be covered by all insurance plans, which can be a barrier for some individuals seeking this form of weight management. As with any weight loss surgery, SADI-S requires a strong commitment to follow-up care, regular monitoring, and adherence to dietary guidelines to ensure long-term success and prevent complications. For many, however, the potential for significant weight loss and improvement in obesity-related conditions makes SADI-S a valuable treatment option in the fight against obesity.

Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy,

What is the said procedure ?

SADI procedure is highly effective for severe obesity and metabolic diseases but requires strict lifelong follow-up with a bariatric team.its best suited for highly motivated patients who commit to dietary compliance and vitamin supplementation. 

Is performed by laparoscopy under general anesthesia. The surgeon will perform the procedure by taking different positions depending on which part of the surgery work is being done. In the beginning, the surgeon stays on the left side and then moves to the right side of the patient to continue the procedure, especially when creating the only intestinal connection between the stomach and the small intestine.

The Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, sadi bariatric procedure, is a single anastomosis duodenal and single anastomosis duodenal ileal procedure, also known as the single anastomosis duodenal switch. It is designed for weight loss and metabolic improvement in patients who have Diabetes Type 2. Derived from the traditional DS (Duodenal Switch), it combines restrictive and malabsorptive components to treat obesity and T2 Diabetes because the surgery consists of two steps. Sleeve Gastrectomy (restrictive Component) procedure—how it works and its advantages—are through reducing stomach capacity, limiting food intake, and suppressing hunger hormones like ghrelin. The intestinal Bypass (anastomosis duodenoileal bypass with sleeve, malabsorptive Component) involves disconnecting the duodenum (first part of the small intestine) and reattaching it to the latter portion of the small intestine (about 250-300 cm from the ileocecal valve). This allows food to bypass a significant segment of the intestine, but still pass through enough of the small bowel to allow enough absorption of essential nutrients. After surgery, digestive juices from the pancreas and bile mix with food in the small intestine, aiding in nutrient absorption and reducing nutritional deficiencies. This mechanism helps maintain proper digestion and absorption processes. Highly effective weight loss and metabolic benefits are achieved, with high remission rates for T2 diabetes, hypertension, and sleep apnea, taking action directly in GLP1 hormones in the small intestine and controlled by pancreatic secretion regulation of these hormones. This procedure has been recently endorsed by the ASMBS.

said procedure works advantages disadvantages the procedure

• First Step: A sleeve gastrectomy removes 70-80% of the stomach, restricting food intake.

• Second Step: The duodenum is connected directly to the ileum (last part of the small intestine), reducing calorie and nutrient absorption.

• Single Anastomosis: Unlike traditional gastric bypass, SADI requires only one connection (only intestinal connection), which is why it is named single anastomosis duodenoileal bypass, with less risk and lower surgical risks than other procedures.

SADI surgery work and sadi work by combining a sleeve gastrectomy with a single anastomosis duodenal switch, which limits food intake and alters the digestive tract to reduce calorie and nutrient absorption. The surgery work results in significant weight loss and improved metabolic health by changing how food and digestive juices interact in the small intestine.

Why Choose SADI PROCEDURE Over Other Weight Loss Surgeries?

Higher Weight Loss Success: Studies show SADI provides better long-term weight loss compared to gastric sleeve or bypass. Patients can expect to lose a significant amount of excess weight and effectively lose weight to achieve their health goals. Improves Metabolic Diseases Type 2 Diabetes: Over 85% remission rate. Hypertension & High Cholesterol: Significant improvement.

Fewer Complications Than Traditional Bypass: With only one anastomosis, there is less risk of complications such as:

• Intestinal blockages.

• Ulcers.

• Dumping syndrome.

Are You a Candidate for SADI Procedure? and Who is Ideal Patient

• BMI ≥ 40 (morbid obesity).

• BMI ≥ 35 with obesity-related conditions (diabetes, sleep apnea).

• Those who failed with diets, exercise, or gastric balloons.

• Failed gastric sleeves

• Revision Patients

• Diabetics 85% Remission rate

Recovery & Post-Op Care*

First 2 Weeks

• Liquid diet, transitioning to soft foods.

• Mandatory supplements* (iron, calcium, B12).