Single Anastomosis Duodeno-Ileal Bypass – with Sleeve (SADI-S)
The SADI-S is considered one of the most effective and reliable weight loss procedures we have today. Between 85% and 100% excess weight loss can be achieved and maintained with a SADI-S.
The SADI-S is a recent evolution of an older procedure called a Duodenal Switch. The SADI-S procedure can be performed as a primary single-stage laparoscopic procedure or can be carried out as a second-stage or revision bariatric procedure for individuals who have previously undergone a Sleeve or Lap Band surgery, but experienced inadequate weight loss or weight regain.
Dr. Jason Robertson specialises in the SADI-S procedure. Jason pioneered the introduction of the SADI-S to New Zealand and continues to perform it regularly for his patients, ensuring optimal results and patient safety.
What is the SADI-S procedure?
The SADI-S is performed using laparoscopic (keyhole) surgery.
It involves a simple two-step weight loss process.
- Firstly, a Sleeve Gastrectomy is performed, wherein a significant portion of the stomach is removed. This reduction in stomach capacity helps restrict the amount of food that can be consumed.
- Next, a long segment of the intestine is bypassed, redirecting the food from just after the stomach to a more distal part of the intestine. By bypassing the food from these metabolically active sections of the intestinal system, the SADI-S procedure offers exceptional effectiveness in achieving weight loss.
The success and benefits of the SADI-S procedure are recognised and endorsed by both the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) and the American Society for Metabolic and Bariatric Surgery (ASMBS).
Advantages:
- Excellent weight loss results and long-term success.
- Ideal for very poorly controlled Diabetes or Dyslipidaemia (high cholesterol). SADI has been shown to be the most effective treatment for long-established Type II Diabetes Mellitus on insulin therapy.
- No Dumping Syndrome
- Extremely low risk of Stomal Ulcers (which can occur with a Gastric Bypass procedures)
- Very low risk of bowel obstruction, twist, or internal hernia
- Only one anastomosis compared to two with the traditional duodenal switch or Roux-en-Y gastric bypass, so lower risk of anastomotic complications.
Considerations:
- Surgical Expertise: Due to the technical complexity of the SADI-S procedure, it is essential to have an experienced bariatric surgeon who is skilled in performing the surgery safely and effectively.
- Due to reduced absorption of fat, some patients can have loose and/or more frequent bowel motions, particularly after rich or oily food.
- Potential risks: SADI-S carries potential risks, including bleeding, infection, and blood clots. These risks will be discussed with you by Dr. Jason Robertson and our team.
- Commitment to a healthy lifestyle: Long-term success with SADI-S requires a commitment to a balanced diet and regular exercise to maintain weight loss and overall health.
- Follow-up care: SADI-S requires ongoing follow-up care, including regular check-ups, vitamin supplementation and monitoring of nutritional status and overall well-being.
