Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy (SADI-S), is a progressive step in bariatric surgery for substantial and sustainable weight loss.
Single Anastomosis Duodenal-Ileal Bypass with Gastric Sleeve (SADI-S) is an advanced bariatric procedure. It combines the benefits of sleeve gastrectomy with a partial bypass of the small intestine. This dual-action approach helps patients significantly reduce their body weight by both restricting food intake and limiting calorie absorption. The procedure also influences hormonal changes that aid in weight loss and the management of metabolic diseases.
A large percentage of patients undergoing SADI-S experience a complete resolution or significant improvement of Type 2 diabetes, thanks to the procedure’s impact on the body’s metabolism and insulin sensitivity.
Many patients find their sleep apnea symptoms dramatically improve or disappear altogether post-SADI-S, reducing their reliance on CPAP machines and enhancing sleep quality.
Following the SADI-S procedure, a significant number of patients report improved cholesterol levels and blood pressure, contributing to a lower risk of cardiovascular diseases.
Performed under general anesthesia, SADI-S is a laparoscopic weight loss procedure requiring a few tiny incisions. Initially, a sleeve gastrectomy is performed, removing approximately 80% of the stomach to create a smaller, tube-like stomach. The second part involves rerouting the small intestine to a loop about 300 cm from the ileocecal valve, significantly reducing the absorption of calories and nutrients.
Recovery involves a phased approach to diet, starting with liquids and gradually introducing solid foods. Patients are encouraged to engage in light physical activity soon after surgery, with a gradual return to normal activities. Close monitoring and nutritional guidance are crucial to ensure optimal healing and adequate nutrient intake.
Ideal candidates for SADI-S are individuals with a body mass index (BMI) over 40 or those with a BMI over 35 who suffer from obesity-related health conditions such as sleep apnea, type 2 diabetes, or heart disease. A thorough evaluation by our weight loss surgeon will determine if SADI-S is the right procedure for you.
Gastric Balloon
Gastric Banding
ESG
Gastric Sleeve
Gastric Bypass
Duodenal Switch
If you would like to discuss your candidacy for SADI-S with Dr. Doucette, you can schedule a consultation by calling (256) 880-1977 or contacting us here. Our staff is ready to help you with any questions you may have at any point in your journey.
*Individual results may vary.
SADI-S uniquely combines the benefits of sleeve gastrectomy with a simplified bypass procedure, offering both restriction and malabsorption benefits with potentially fewer complications than traditional duodenal switch surgery.
Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy and the Roux-en-Y Gastric Bypass are both effective surgical weight loss procedures, but they differ in their approach and specific mechanisms of action. The Gastric Bypass involves the creation of a smaller stomach pouch and rerouting the small intestine to this pouch, which limits food intake and reduces the hunger producing hormones. This procedure is recognized for its long-term effectiveness in weight loss and the management of obesity -related health conditions.
SADI-S procedure combines the benefits of a Sleeve Gastrectomy, where a significant portion of the stomach is removed to reduce its size, with a bypass of a part of the small intestine (similar to but more extensive than the Roux-en-Y Gastric Bypass), which further aids in weight loss by decreasing calorie absorption. Unlike the Roux-en-Y Gastric Bypass or Duodenal Swithc, SADI-S involves only one intestinal anastomosis (connection), potentially offering a simpler surgical approach.
Yes, SADI-S is considered a safe and highly effective weight loss surgery with lower perioperative risk., As with any surgical procedure, SADI-S carries risks, including nutrient deficiencies, acid reflux, and changes in bowel habits. Our team provides comprehensive care and guidance to minimize these risks.
Whether SADI-S is covered by insurance largely depends on the specifics of your insurance policy and whether it includes bariatric coverage. Typically, if your insurance plan offers coverage for bariatric surgery, SADI-S may be included. However, it’s important to remember that every insurance policy is unique, with varying levels of coverage, prerequisites for surgery, and specific procedures covered. To determine if SADI-S is covered under your policy, it’s advisable to directly contact your insurance provider for the most accurate and personalized information. They can provide details on coverage eligibility, any necessary pre-surgery requirements, and guidance on the claims process. We are happy to assist you with checking your benefits with our Free Insurance Check.
To ensure our patients have access to this life-changing surgery, we offer competitive and affordable self-pay pricing, as well as a variety of financing options to suit different budgets. We understand that investing in your health is a significant decision, and we aim to make the process as accessible as possible. For detailed information on pricing and what’s included in the cost of surgery, review our self-pay packages. Our team is dedicated to providing you with the support and guidance you need to make an informed decision about your health and well-being.
The SADI-S (Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy) procedure is not performed as an outpatient surgery, given its complexity and the level of postoperative care required. Patients undergoing SADI-S at a facility like Crestwood Medical Center or Huntsville Hospital typically stay in the hospital for one night to ensure they are recovering well and to manage any immediate postoperative needs such as pain control, hydration, and the initiation of post-surgery diet protocols.
Weight Loss Surgery