Procedure Guide
SADI-S
Alternative Names : Single Anastomosis Duodenal-Ileal, Duodenal Switch-Sleeve, Single Anastomosis Duodeno-Ileostomy with Sleeve gastrectomy, The Loop Single Anastomosis Duodenal Switch-Sleeve (SADI-S)
SADI-S offered in Phoenix, Mesa, & Tempe, AZ.
Cost :
Contact
Surgery Length:
2-4 Hours
Anesthesia :
General
Recovery :
Most people return to work within 1-2 weeks, however healing will continue for 6-8 weeks after surgery
Synopsis
SADI-S surgery in Arizona is a newer improved duodenal switch surgery for bariatric weight loss patients.
Opting for the SADI-S procedure provides a safer route when compared to the Duodenal Switch, as it diminishes the likelihood of leaks or intestinal blockages through its single anastomosis and loop-shaped intestinal alteration. The SADI-S avoids bowel division, thereby reducing the risks.
Benefits of SADI-S Surgery
Benefits of SADI-S surgery compared to other bariatric surgeries:
75–100% Excess weight loss (substantially more than gastric sleeve)
Laparoscopic or minimally invasive procedure
SADI-S is both restrictive and malabsorptive
Decreased appetite and increased metabolism
Reduced risk: One intestinal bypass is made instead of two, meaning less surgical time and risk of intestinal leakage.
How SADI-S Works
SADI-S' loop DS combines two bariatric surgeries: Sleeve Gastrectomy + Duodenal Switch = The Loop Single Anastomosis Duodenal Switch-Sleeve (SADI-S).
Sleeve Gastrectomy
The first step of the SADI-S procedure involves performing a sleeve gastrectomy. This entails removing a large portion of the stomach, typically around 80-85%. The remaining portion of the stomach is reshaped into a narrow tube or sleeve-like structure. This reduction in stomach size restricts the amount of food you can eat, leading to a feeling of fullness with smaller meals.
Intestinal Rerouting
After the sleeve gastrectomy, the surgeon performs an intestinal rerouting. The small intestine is divided, and the lower part of the small intestine called the duodenum is bypassed. The surgeon then connects the end of the divided small intestine to the newly created gastric sleeve, forming a single anastomosis (connection). This allows food to pass directly from the stomach into the lower part of the small intestine, bypassing a significant portion of the upper small intestine.
The switch reroutes food so it bypasses a significant portion of the small intestine, preventing the body from absorbing as much fat and calories. This combination of surgeries results in dramatic weight loss in a short amount of time.
Restrictive and Malabsorptive Effects
Am I A Good Candidate ?
Candidates for SADI-S have a Body Mass Index (BMI) above 40, or have over 100 pounds of excess weight. It may also be an option for people with a BMI between 35-40 who suffer from chronic conditions or life-threatening complications associated with obesity.
SADI-s procedures can also be done to further weight loss in those suffering from severe obesity or to help control reflux.
Pros
Excellent Outcomes
The SADI-S is a highly effective method of weight loss due to the combination of reduced stomach volume and intestinal malabsorption; patients have been observed to shed more than 70% of extra body weight within the first year.
Improve Weight-Related Conditions
Most patients who have a SADI have significant improvement or resolution of weight-related conditions such as type 2 diabetes, hypertension, sleep apnea, and heart disease.
Less Risk Than The Original Duodenal Switch
With SADI-S, there is a reduction in the complexity of the surgical technique, leading to potentially fewer complications during and after the procedure. This simplified approach involves a single connection between the stomach and the lower intestine, minimizing the risk of surgical complications such as leaks or strictures.
Larger portion of small intestine is preserved, which means less potential for malabsorption of nutrients
Potential for revision:
In case of inadequate weight loss or complications, the SADI-S procedure can be revised or converted to other bariatric procedures like the Roux-en-Y gastric bypass or traditional duodenal switch.
Cons
Not Totally Reversible
The sleeve that is created in step 1 of the SADI cannot be reversed.
However, the length of intestines can be changed if needed for weight loss or medical purposes.
More Complex and Demanding Procedure
SADI is a technically a more intricate procedure, therefore, it's important to choose an experienced surgeon who performs the procedure on a regular basis.
The risks can be found with a lot of the other procedures... Post-operative care is integral.
After SADI .
The SADI can significantly improve health and result in dramatic weight loss. Approximately 95% of patients experience an improvement in quality of life and resolve obesity-related health conditions.
Because of the significant malabsorption, nutrition status must be monitored. Regular vitamin labs will be ordered, and you will be encouraged to follow up with your dietitian often. Vitamin supplementation is required to avoid nutritional deficiency. Fat digestion will be significantly altered, so a low-fat diet should be followed after this surgery.
Recovery After the SADI-S
Recovery after SADI-S usually involves an overnight stay in the hospital. Patients usually return to work within 1-2 weeks after the procedure. Because the procedure significantly shortens the digestive tract and reduces the body’s ability to absorb calories, it is important that patients follow all post-operative recommendations for nutrition and vitamin supplementation to avoid possible life-threatening deficiencies.
FAQ
- What is SADI?
- How does SADI help with weight loss?
- Is SADI reversible?
- What is the recovery period for SADI?
- Will I need to make changes to my eating habits after surgery?
- How long does it take to see weight loss?
- Are there any potential risks or complications associated with SADI?
- Will I be able to eat normally after SADI?
FAQ .
What is SADI Surgery?
The SADI is a two-step procedure that promotes weight loss by restriction and malabsorption.
How does SADI help with weight loss?
SADI promotes weight loss by restricting the amount of food that can be eaten and causing significant fat malabsorption. The smaller stomach pouch created limits the amount of food that can be consumed at one time, while the rerouting of the intestines causes food to be digested faster before it's fully absorbed.
Is SADI reversible?
Yes and No. The sleeve that is created in step 1 of the SADI cannot be reversed. However, the length of intestines can be changed if needed for weight loss or medical purposes.
What is the recovery period for SADI?
The recovery period after gastric band surgery is typically shorter compared to other bariatric procedures. Most patients can return to normal activities within a few days to a week after the surgery. However, it's important to follow post-operative guidelines provided by your healthcare team for a smooth recovery.
Will I need to make changes to my eating habits after surgery?
Yes, nutrition changes are necessary after SADI. You will be advised to follow a specific post-operative diet plan that includes gradual progression from liquids to solid foods. You will also need to adopt long-term changes, such as smaller portion sizes and nutritious food choices, to support weight loss and overall health.
How long does it take to see weight loss?
Weight loss results vary among individuals, however the SADI typically results in rapid weight loss. Some patients may lose up to 80% of their excess weight within one year after surgery.
Are there any potential risks or complications associated with SADI?
All surgery has risks, however the SADI has a low reported complication rate. Regular follow-up visits with your bariatric team are important to monitor for and address any potential issues.
Will I be able to eat normally after SADI?
While you will be able to eat solid foods after recovery, portion sizes will be significantly smaller. Because of the malabsorption component of the procedure, a low-fat diet should be followed. The goal is to promote healthy eating habits and portion control for long-term weight management.