The Single Anastomosis Duodenal-Ileal bypass with sleeve gastrectomy (SADI-S/SADI surgery) is a laparoscopic weight loss procedure.
The surgery involves 2 parts:
As the SADI procedure bypasses a part of the small intestine, there is a risk of patients developing vitamin, mineral, protein and trace element deficiencies. Therefore, it is important for patients to maintain ongoing monitoring and follow-up with their bariatric team, as well as having annual blood tests.
Changes in hormone signals alter the regulation of blood sugar levels, suppress appetite, and increase feelings of fullness after the SADI surgery. This affects how your body processes and stores calories, improving your metabolism and assisting in weight management by lowering your natural maintenance weight range.
The Primary SADI surgery is performed laparoscopically, which means it’s minimally invasive, resulting in smaller incisions and shorter recovery times. It involves creating a narrow stomach sleeve, removing a portion of the stomach, and connecting the stomach directly to the small intestine.
After eating, food travels directly through the sleeve into the small intestine, bypassing two thirds of the small intestine where calories and nutrients are normally absorbed. This bypass reduces the duration during which food and digestive juices mix in a long segment of the small intestine.
It’s important to remember that the best option for you will be influenced by your individual health, lifestyle, and weight loss objectives. Evaluating the advantages and potential risks of each surgical option and discussing them with your surgeon or weight loss team is important.
It’s important to note that the benefits of weight loss are not just physical; they extend to psychological and emotional wellbeing as well. The approach to weight loss should be gradual, sustainable, and balanced to maximise these benefits while minimising potential risks.
This is why Dr Scott Whiting employs a multi-disciplinary approach which ensures the best possible outcomes for his patients. Using world-class research to inform his procedures, you will be well cared for both pre- and post- bariatric surgery.
Contact us to arrange a consultation with Dr Whiting to discuss your weight loss options.
Actual risks will depend on individual circumstances and should be discussed with Dr Whiting.
* Backman B, et al. The Bariatric Surgery Registry Annual Report, 2020. Monash University, Department of Epidemiology and Preventive Medicine. August 2020, Report No. 8.
Australian Bureau of Statistics. National Health Survey: First results. 2017-2018 Financial year. Available here.
# Lee PC, Dixon J. Aust Fam Physician. 2017;46(7):465-471.
Monash University Bariatric Surgery Registry. Bariatric Surgery Registry 2018/19 Report. June 2019. Available here.
Pareek M, et al. J Am Coll Cardiol. 2018;71(6):670-687
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