SADI SURGERY AND WEIGHT LOSS RESULTS IN NJ
What is SADI-Surgery and How Does it Help Weight loss Patients in New Jersey
Are you considering weight loss surgery and wondering if SADI surgery might be right for you? This comprehensive guide explains everything you need to know about this increasingly popular bariatric surgery procedure.
What is SADI Surgery?
SADI surgery - Single Anastomosis Duodeno-Ileostomy - combines aspects of multiple weight loss surgeries into one procedure. Also known as SADI-S (sleeve gastrectomy), SADI is a weight loss surgery that combines the restrictive part of the gastric sleeve with the malabsorptive nature of surgeries like a gastric bypass or duodenal switch, without disrupting the continuity of the small intestine.
This procedure is endorsed by the American Society of Metabolic and Bariatric Surgeons (ASMBS) as both a primary weight loss option and as a revisional procedure for those who didn't achieve sufficient results with previous surgeries.
How Does SADI Surgery Work?
SADI surgery jumpstarts weight loss through a dual approach:
- Restriction: First, the stomach is reduced in size similar to a gastric sleeve, which helps you feel full faster and eat smaller portions.
- Malabsorption: Next, a significant portion of the small intestine is bypassed, limiting the calories and nutrients your body can absorb from food.
The combination not only helps patients with significant weight loss but also improves blood sugar and metabolism. Additional hormonal benefits include:
- Improved insulin sensitivity
- Decreased hunger hormones
- Reduced appetite and cravings
Benefits of SADI Surgery
The procedure offers several benefits that make it an effective option for many patients:
Significant Weight Loss
Patients typically lose 80-90% of their excess weight or up to 40% of total body weight following SADI surgery.
Improved Metabolic Health
SADI surgery is particularly effective for treating type 2 diabetes by reducing insulin resistance. The procedure also helps improve other obesity-related conditions like:
- High blood pressure
- Sleep apnea
- Joint pain
- High cholesterol
Reduced Complication Risk
With only one intestinal connection (compared to multiple connections in other procedures), there is a lower risk of leaks and internal hernias.
Preserved Digestive Function
SADI surgery preserves the pylorus (the muscular valve at the bottom of the stomach), which helps regulate digestion and minimize dumping syndrome.
SADI Surgery vs. Gastric Sleeve
While the gastric sleeve reduces stomach size, SADI surgery adds malabsorption by rerouting the small intestine. This results in greater weight loss and stronger metabolic benefits. SADI is often recommended when more significant weight loss is needed or when a previous sleeve gastrectomy didn't produce the desired weight loss results
SADI Surgery vs. Gastric Bypass
Both procedures reroute the intestines, but SADI surgery:
- Preserves the pylorus muscle
- Uses only one intestinal connection versus two in gastric bypass
- Bypasses more intestine for potentially greater weight loss
How Do I Qualify?
While any candidate for bariatric surgery might consider this procedure, it's particularly beneficial for:
- Patients with BMI of 50 or above
- People with severe obesity-related conditions like type 2 diabetes or insulin resistance
- Patients who did not achieve sufficient weight loss from a previous gastric sleeve
The ideal candidate should also be willing to:
- Follow up long-term for dietary and medical guidance
- Commit to lifelong vitamin supplementation
- Adhere to recommended nutrition and lifestyle changes
- Attend regular follow-up appointment to monitor vitamin levels and nutritional status
Potential Side Effects and Risks
Like all surgical procedures, there are potential risks and side effects:
Nutritional Considerations
Due to the malabsorptive component, patients must be vigilant about:
- Getting enough protein in their diet
- Taking prescribed vitamin and mineral supplements
- Monitoring for potential deficiencies in iron, calcium, and certain vitamins
Surgical Risks
While less common when performed by experienced, fellowship-trained surgeons such as our team at NJBC, potential risks include:
- Bleeding
- Infection
- Leaks
Recovery Process After SADI Surgery
Most patients experience a recovery similar to gastric sleeve and gastric bypass:
- Hospital stay of 1-2 days
- Gradual diet progression, starting with liquids
- Return to work and regular activities within 2-4 weeks
- Continued dietary guidance and support throughout recovery
Is SADI Surgery Right for You?
If you're seeking a weight loss solution that offers significant results with fewer complications than some traditional procedures, this surgery is an option to consider. The bariatric surgery procedure's combination of restriction and malabsorption makes it particularly effective for those needing significant weight loss or metabolic improvements.
The decision to undergo any bariatric procedure should be made carefully after thorough consultation with an experienced bariatric surgeon who can evaluate your specific needs and health goals.
To find out if you qualify, call 908-481-1270
References:
Shoar, Saeed, et al. "Single anastomosis duodeno-ileal switch (SADIS): a systematic review of efficacy and safety." Obesity surgery 28 (2018): 104-113.
Kallies, Kara, and Ann M. Rogers. "American Society for Metabolic and Bariatric Surgery updated statement on single-anastomosis duodenal switch." Surgery for Obesity and Related Diseases 16.7 (2020): 825-830.
Surve, Amit, et al. "Mid-term outcomes of gastric bypass weight loss failure to duodenal switch." Surgery for Obesity and Related Diseases 12.9 (2016): 1663-1670.
Lee, Yung, et al. "Single-or double-anastomosis duodenal switch versus Roux-en-Y gastric bypass as a revisional procedure for sleeve gastrectomy: a systematic review and meta-analysis." Surgery for Obesity and Related Diseases 15.4 (2019): 556-566.
