In a Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) procedure, a smaller, tube-shaped stomach is created. The duodenum is divided just after the stomach. A loop of intestine is measured several feet from its end and connected to the stomach.

What are the advantages of a SADI-S procedure?

  • Highly effective for long-term weight loss
  • Effective for remission of type 2 diabetes
  • Excellent option for a patient who already had a sleeve gastrectomy and is seeking further weight loss

What are the risks of a SADI-S procedure?

  • Vitamins and minerals may not be absorbed well
  • Worsened or new-onset reflux
  • Looser and more frequent bowels
  • SADI-S is a newer procedure with limited long-term outcome data and limited insurance coverage
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