Get Lasting Results with
SADI-S Surgery

Home » Procedures » Procedure SADI-S Surgery

Single Anastomosis Duodeno-Ileal Bypass (SADI-S) surgery: a next-generation bariatric procedure that delivers powerful weight loss with fewer complications.

Why Choose SADI-S?

Single Connection Point

Only one surgical connection reduces complication risk compared to traditional bypass

Superior Weight Loss

Comparable or greater weight loss than traditional gastric bypass

Fewer Long-term Issues

Lower risk of internal hernias and marginal ulcers

Understanding SADI-S Surgery

SADI-S, or Single Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy, is an advanced weight loss surgery designed for patients who need significant and durable results. This procedure combines the restrictive benefits of a gastric sleeve with a carefully measured intestinal bypass to reduce calorie absorption and enhance metabolic change.

By limiting how much you can eat and how many calories your body absorbs, SADI-S promotes substantial, long-term weight loss while also improving conditions such as type 2 diabetes, high blood pressure, and high cholesterol. For patients seeking one of the most powerful surgical options available, SADI-S offers a comprehensive approach to achieving meaningful and lasting health transformation.

How It Works

1

Sleeve Gastrectomy

The stomach is reduced to a narrow tube (sleeve), limiting food intake significantly

2

Duodenal Division

The duodenum is divided just past the stomach to redirect the digestive path

3

Single Intestinal Loop

A single loop of intestine is connected to the duodenum, reducing calorie and fat absorption

Exceptional Weight Loss

Lose 70-85% of excess weight within 12-18 months

Diabetes Resolution

Up to 90% resolution of type 2 diabetes in eligible patients

Durable Results

Strong long-term weight maintenance with proper lifestyle habits

Simplified Design

Single anastomosis means fewer surgical connections and lower complication risk

Ready to Start Your Transformation?

Schedule a free consultation to discuss if SADI-S Surgery is right for you. Our expert team will evaluate your health and weight loss goals.

Your SADI-S Journey

We guide you through every step of the SADI-S process, from initial consultation to long-term success. Here’s what you can expect on your transformation journey.

1

Initial Consultation

30 minutes

Meet with our bariatric team to discuss your goals, medical history, and whether SADI-S is right for you.

  • Medical history review
  • BMI calculation
  • Insurance verification
  • SADI-S candidacy assessment

2

Medical Evaluation

2-4 weeks

Comprehensive health assessment including lab work, imaging, and specialist consultations.

  • Blood work and lab tests
  • Cardiac evaluation
  • Nutritional assessment
  • Psychological evaluation

3

Pre-Op Preparation

2-6 weeks

Education sessions, dietary changes, and final preparations for your SADI-S surgery.

  • Nutritional counseling
  • Lifestyle education
  • Support group attendance
  • Pre-op diet plan

4

Surgery Day

2-4 hours

Minimally invasive laparoscopic SADI-S procedure performed by our expert surgical team.

  • Check-in and preparation
  • Laparoscopic SADI-S surgery
  • Recovery room monitoring
  • Initial post-op care

5

Recovery Period

1-3 days

Initial post-op recovery with close monitoring, support, and guidance.

  • Observation
  • Pain management
  • Dietary progression
  • Mobility encouragement

6

Long-term Follow-up

Lifelong

Ongoing support, monitoring, and guidance to ensure your long-term success.
  • Regular check-ups
  • Nutritional monitoring
  • Vitamin supplementation
  • Lifestyle coaching

Typical Timeline

Week 1-2

Initial Consultation

Week 3-8

Medical Evaluation

Week 9-12

Pre-Op Preparation

Surgery

Your New Beginning

Ready to Begin Your Journey?

Take the first step today. Our patient coordinators will help you understand the SADI-S process and determine if you’re a candidate.

Real Patient Success Stories

Watch testimonials and hear directly from our patients as they share their powerful, personal journeys from the decision to take control of their health to the life-changing results they’ve achieved at BodEvolve.

SADI-S Surgery Frequently Asked Questions

Get answers to the most common questions about SADI-S surgery. Our team is here to address all your concerns and help you make an informed decision.

SADI-S stands for Single Anastomosis Duodeno-Ileal bypass with Sleeve gastrectomy. It’s a two-part procedure that first creates a sleeve gastrectomy (reducing stomach size), then bypasses a portion of the small intestine with a single surgical connection. This dual approach provides both restriction and malabsorption for powerful weight loss.

Unlike traditional gastric bypass (Roux-en-Y) which requires two surgical connections (anastomoses), SADI-S uses only one. This simplifies the procedure, reduces operative time, and lowers the risk of internal hernias and marginal ulcers. SADI-S also preserves the pyloric valve, which can reduce dumping syndrome.

SADI-S may be appropriate if you have a BMI of 40 or higher, or a BMI of 35+ with serious weight-related health conditions. It’s also an excellent option as a revision procedure for patients who have had a previous sleeve gastrectomy with insufficient weight loss. A comprehensive evaluation will determine your candidacy.

Most patients lose 70-85% of their excess weight within 12-18 months after SADI-S surgery. Studies show SADI-S often achieves comparable or greater weight loss than traditional gastric bypass, with particularly strong results for diabetes resolution.

As with any surgery, risks include bleeding, infection, and adverse reactions to anesthesia. Specific to SADI-S, there is a risk of nutritional deficiencies (particularly fat-soluble vitamins and protein), bile reflux, and loose stools. However, the single-anastomosis design reduces some risks associated with traditional bypass surgeries.

Most patients stay in the hospital for 1-3 days and can return to work within 1-3 weeks depending on their job. Full recovery typically takes 4-6 weeks. You’ll follow a specific diet progression and gradually increase activity under medical supervision.

Yes, lifelong vitamin and mineral supplementation is essential after SADI-S. Because the procedure bypasses a significant portion of the small intestine, you’ll need a multivitamin, calcium, vitamin D, iron, vitamin B12, and fat-soluble vitamins (A, E, K). Regular lab monitoring is crucial.

Yes, SADI-S is an excellent revision option for patients who previously had a sleeve gastrectomy but didn’t achieve adequate weight loss or experienced weight regain. Since the sleeve is already in place, the surgeon only needs to add the intestinal bypass portion.

You’ll progress through dietary stages: clear liquids, full liquids, pureed foods, soft foods, and finally regular foods. Long-term, you’ll eat smaller protein-rich meals and need to limit high-fat foods to avoid gastrointestinal discomfort. Our nutritionist provides detailed guidance throughout your journey.

The cost varies based on insurance coverage and individual circumstances. Many insurance plans cover bariatric surgery when medical criteria are met. SADI-S is increasingly recognized by insurers as an effective bariatric option. We’ll help verify your benefits and explore financing during your consultation.

Still Have Questions?

Our patient coordinators are available to answer any additional questions and help you understand if SADI-S surgery is right for you.

Important Considerations

Understanding the requirements and long-term commitments of SADI-S helps ensure the best outcomes. Here’s what you need to know before making this important decision.

Eligibility Criteria

BMI Requirements

BMI ≥40 or BMI ≥35 with serious health conditions

Health Conditions

Conditions that may benefit from SADI-S

Mental Readiness

Psychological evaluation and commitment required

Age Considerations

Generally ages 18-65, case-by-case evaluation

Find Out If You're a Candidate

Our comprehensive evaluation process will determine if SADI-S surgery is the right choice for your unique situation and health goals.

Free consultation • No obligation • Confidential evaluation

Schedule Your Free SADI-S Consultation

Take the first step towards transformation. Our expert team will evaluate your health, discuss your goals, and determine if SADI-S is the best option for you.

What to Expect During Your Consultation

Comprehensive Evaluation

Complete review of your medical history, current health conditions, and weight loss goals to determine SADI-S candidacy.

Personalized Treatment Plan

Customized SADI-S approach based on your unique situation, including timeline and expected outcomes.

Insurance Verification

Complete insurance verification and explanation of coverage, costs, and financing options for SADI-S.

Request Your Consultation

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Consultations are completely free with no obligation. We’ll contact you within 24 hours.

Transform yourself with

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Name*

By submitting this form you agree to receive emails, calls, and text messages from BodEvolve related to our services. This agreement is not a condition to purchase and you can opt-out at any time.