Dr. Tuna Bilecik

Single Anastomosis Duodeno Ileostomy + Sleeve (SADI-S)

Struggling to lose weight?
SADI-S might be the breakthrough you’ve been waiting for.

What is SADI-S?

SADI-S combines two proven bariatric procedures: the duodenal switch and the vertical sleeve gastrectomy. Here’s how it works and why it offers powerful benefits for long-term weight loss and improved health.

1. Duodenal Switch

This procedure removes a portion of the stomach and reroutes the small intestine to reduce calorie and nutrient absorption. Unlike standard gastric bypass, it bypasses a larger section of the intestine, resulting in greater malabsorption and enhanced weight loss.

2. Sleeve Gastrectomy

In this surgery, a large part of the stomach is removed, creating a smaller, sleeve-shaped stomach that limits how much you can eat and helps reduce calorie intake.

3. Combining Both for Greater Results

SADI-S merges these two procedures into one streamlined solution, delivering enhanced weight loss outcomes, the combined benefits of restriction and malabsorption, and a more effective, long-term solution for treating obesity.

Health Benefits Beyond Weight Loss

SADIS doesn’t just support weight loss — it also helps improve other health issues. Studies show it can lead to better outcomes for conditions like type 2 diabetes, high blood pressure, and sleep apnea.

Type 2 Diabetes: Improved blood sugar control.

High Blood Pressure: Many patients see reduced levels.

Sleep Apnea: Breathing during sleep often improves.

Considerations and Potential Risks

  • While SADI-S is a promising weight loss solution, it’s important to note that it’s not without risks. As with any surgery, there are potential complications, such as bleeding, infection, and intestinal obstruction.
  • Additionally, SADI-S can lead to malabsorption of nutrients, which can result in vitamin and mineral deficiencies. Patients who undergo SADI-S will need to take vitamin and mineral supplements for the rest of their lives to prevent deficiencies.

Is SADI-S right for you?

SADI-S is a promising weight loss procedure designed for people struggling with obesity and related health conditions.

Why It Works

This one-stage surgery combines the benefits of a sleeve gastrectomy and a duodenal switch to enhance weight loss results and overall health.

What to Consider

While there are potential risks and complications, many patients experience significant, lasting results—making SADI-S a powerful option when guided by medical advice.

Who is a Suitable Candidate?

  • The best candidates for Single Anastomosis Duodeno-ileostomy with Sleeve are those battling morbid obesity. It is ideal for those who want a better weight-loss method than a gastric bypass and sleeve.

    Among its benefits are better long-term weight loss, diabetes treatment, lower chance of weight regain, less acid reflux, and reduced risk of stomach ulcer than those provided by bypass and sleeve.

    SADI-S has proven to be an effective solution to obesity and its negative effects on patients’ health. It is also a good option for those who have undergone a restrictive bariatric procedure and have had trouble with keeping the weight off. Generally, good candidates of SADI-S include:

  • BMI of 50 and Over
    Obesity-related diseases including hypertension, high fasting plasma glucose, and a high body mass index are considered three out of the four biggest global health threats today (smoking is the fourth). In the United States, more than one-quarter of patients interested in bariatric surgery are super obese. The prevalence of comorbidities in those with a BMI greater than 50 includes a significant increase in cardiovascular mortality. SADI-S can help patients with super obesity reduce these associated risks.
  • Previous Bariatric Surgery

    Patients who have undergone options like gastric sleeve or gastric band surgery in the past who failed to shed excess weight can benefit from SADI-S revision surgery. Similarly, patients who lost weight initially but then regained substantial weight after gastric band or gastric sleeve surgery can benefit from SADI-S revision surgery. Unfortunately, since this method uses a similar malabsorption method, patients who have received a duodenal switch are not eligible for this procedure.

    With the right support and care, SADI-S can be a life-changing procedure that helps you achieve your weight loss goals and improve your overall health and wellbeing.