It’s considered similar to the most powerful weight loss operation the Duodenal Switch but with lower rates of diarrhoea and protein malabsorption. It is suggested for high BMI patients and or when Type 2 Diabetes Mellitus/Metabolic Syndrome control is indicated or weight regain after primary surgery.
It’s crucial to have an open and honest discussion with your New Me Surgeon to determine if SADI-S/SIPS is the right choice for you based on your circumstances, preferences and goals.
SADI-S/SIPS is a weight loss surgery that combines sleeve gastrectomy with a single anastomosis duodenal-ileal bypass, reducing stomach size and rerouting part of the small intestine to limit food absorption.
SADI-S differs from other bariatric surgeries like gastric bypass by disconnecting the duodenum and joining it to the small bowel. The join is below the pylorus muscle which helps reduce dumping.
Potential benefits of undergoing SADI-S/SIPS surgery for weight loss include significant and sustained weight loss, improvement or resolution of obesity-related health conditions such as type 2 diabetes and hypertension, and reduced risk of dumping syndrome compared to gastric bypass.
Risks and complications associated with SADI-S/SIPS surgery include nutritional deficiencies, malabsorption issues, risk of leaks, ulcers, bleeds or strictures at the bowel join site, and potential long-term complications such as osteoporosis and vitamin deficiencies.
Dietary and lifestyle changes after SADI-S/SIPS surgery typically involve consuming small, nutrient-dense meals, avoiding high-calorie and high-sugar foods, and incorporating regular physical activity to support weight loss and maintain nutritional balance.
The recovery period following SADI-S/SIPS surgery usually ranges from several weeks to months, with patients gradually resuming normal activities under New Me Surgery guidance.
Long-term effects or considerations after SADI-S/SIPS surgery may include the risk of nutritional deficiencies, osteoporosis, and gastrointestinal issues due to the malabsorptive nature of the procedure.
Ideal candidates for SADI-S/SIPS surgery are individuals with severe obesity (BMI ≥ 40) with obesity-related health conditions, who have not achieved weight loss with other methods and are committed to making lifelong dietary and lifestyle changes.
SADI-S/SIPS surgery can lead to significant improvement or resolution of co-morbid conditions like type 2 diabetes and high blood pressure, often even before significant weight loss occurs, due to changes in gut hormone levels and metabolic function.
The success rate of SADI-S surgery in terms of sustained weight loss and improvement in health outcomes varies, but many patients experience significant and long-lasting weight loss, improvement or resolution of co-morbidities, and enhanced quality of life with proper adherence to post-operative guidelines.
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