Bariatric surgery continues to advance, offering innovative procedures that maximize weight loss while minimizing risks. One such breakthrough is the Single Anastomosis Duodenal-Ileal Switch (SADI-S)—a technique that combines the benefits of sleeve gastrectomy and gastric bypass into a single, powerful procedure.
At VIVE Bariatrics, we provide expert guidance and care for patients considering SADI-S. This article explains what SADI-S is, how it works, and why it may be the ideal choice for certain individuals seeking effective, long-term weight loss.
Understanding SADI-S: The Basics
SADI-S is a bariatric and metabolic surgery that combines two key techniques:
- Sleeve gastrectomy: A large portion of the stomach is removed, leaving a smaller, tubular “sleeve” to restrict food intake.
- Duodenal switch with intestinal bypass: The small intestine is rerouted to bypass a significant portion, reducing calorie and nutrient absorption.
Unlike the traditional duodenal switch, SADI-S uses a single anastomosis (connection) between the duodenum and the ileum, simplifying the procedure and potentially reducing surgical risks.
How SADI-S Works: Combining Restriction and Malabsorption
SADI-S promotes weight loss through:
- Restriction: The reduced stomach size limits how much you can eat at once, helping you feel full sooner.
- Malabsorption: Bypassing a large portion of the small intestine limits calorie and nutrient absorption, enhancing weight loss.
- Hormonal changes: The surgery alters gut hormones that regulate hunger, satiety, and blood sugar, improving metabolism and reducing appetite.
This combination makes SADI-S highly effective for significant, sustained weight loss and metabolic improvement.
Benefits of SADI-S Compared to Other Procedures
SADI-S offers several advantages:
- Effective weight loss: Patients often lose 70-80% of excess body weight within 1-2 years.
- Improved diabetes control: SADI-S has high rates of type 2 diabetes remission due to hormonal and metabolic effects.
- Simplified surgery: The single intestinal connection reduces operative time and risk of complications compared to traditional duodenal switch.
- Preservation of pyloric valve: This helps prevent dumping syndrome and improves digestive function.
- Potential for better nutrient absorption than traditional duodenal switch, reducing the risk of severe deficiencies.
Who Is a Candidate for SADI-S?
SADI-S is especially suitable for patients who:
- Have a BMI over 45 or severe obesity with metabolic conditions.
- Need maximum weight loss and diabetes resolution.
- Seek a procedure combining restriction and malabsorption with a simpler surgical approach.
- Are committed to lifelong nutritional monitoring and supplementation.
At VIVE Bariatrics, we carefully assess your health status, goals, and medical history to determine if SADI-S is the best option.
Recovery and Long-Term Care
Recovery from SADI-S typically involves:
- Hospital stay of 2-3 days.
- Gradual dietary progression from liquids to solids over several weeks.
- Regular follow-ups to monitor weight, nutrient levels, and overall health.
Lifelong vitamin and mineral supplementation is essential to prevent deficiencies due to intestinal bypass.
SADI-S at VIVE Bariatrics: Expert Care and Support
At VIVE Bariatrics, we combine surgical expertise with personalized support to help you succeed with SADI-S. Our team provides:
- Comprehensive preoperative education.
- State-of-the-art surgical techniques.
- Nutritional counseling and monitoring.
- Ongoing multidisciplinary care.
Ready to Learn More About SADI-S?
If you’re seeking an effective, innovative weight loss surgery that blends the best of sleeve and bypass techniques, SADI-S may be the right choice for you.
📞 Schedule your consultation today at VIVE Bariatrics and discover how SADI-S can transform your health and life.
