The SADI-S is a weight loss surgery that is both restrictive and malabsorptive. The SADI-S is a laparoscopic or minimally invasive procedure. The surgeon works with instruments and a camera inserted through small incisions in the abdomen.

Roux-en-Y Gastric Bypass (RYGB) SADI-S: How Does It Work?

The procedure starts the same as a Sleeve Gastrectomy (1) by removing about ½ of the stomach. The first part of the small intestine is divided (2), and a loop of the intestine is connected to the first part of the small intestine. This is the single connection performed during the SADI-S (3).

SADI-S: What Are the Advantages?

  • Highly effective for resolution of type II diabetes and other comorbid conditions
  • Average percent excess weight loss is 70-80%
  • May be performed after Sleeve Gastrectomy

SADI-S: What Are the Disadvantages?

Vitamin and mineral deficiencies. The malabsorptive component of the SADI-S requires that those who undergo the procedure take vitamin and mineral supplements lifelong.  These include Multivitamin, Iron, Calcium, Vitamins A, D, E, K and Vitamin B12.

  • Potential for increased bowel frequency, malodorous gas (less than Duodenal Switch)
  • Reflux (less than Sleeve Gastrectomy)
  • Risk of internal hernias or bowel obstruction (less than Roux-en-Y Gastric Bypass or Duodenal Switch)
  • Kidney stones
  • Newer operation with only short-term outcome data