Considering SADI-S surgery in Turkey is often the decisive step for patients dealing with super-obesity or severe metabolic disorders who require a more potent solution than standard procedures. While the medical acronym sounds complex, this surgery represents the modern, safer evolution of the traditional Duodenal Switch, offering powerful results for weight loss and diabetes remission.
Understanding SADI-S: The Hybrid Procedure
SADI-S stands for Single Anastomosis Duodeno-Ileal Bypass with Sleeve. It is a “hybrid” procedure that combines the most effective elements of two different surgeries into one powerful metabolic reset.
First, the surgeon performs a Sleeve Gastrectomy, removing about 80% of the stomach to restrict food intake. Second, unlike a standard Sleeve, the surgeon bypasses a significant portion of the intestine, connecting the stomach loop to a lower point in the bowel. This leaves only about 2.5 to 3 meters of intestine for nutrient absorption. The key advantage over the older “Duodenal Switch” is that SADI-S requires only one connection (anastomosis) instead of two, which significantly reduces the surgical time and the risk of leaks.
Expert Warning from Clinic Care Center
SADI-S is a ‘Ferrari’ among bariatric surgeries—powerful, but it requires a skilled driver. This surgery is not for everyone. Because it bypasses a significant portion of the intestine, the risk of vitamin deficiency (Malnutrition) is higher than with a standard Sleeve or Bypass. You must commit to taking high-dose bariatric vitamins for the rest of your life. If you are bad at taking pills, this surgery could be dangerous for you. Additionally, expect loose bowel movements (2-3 times daily) as a norm.
Which Surgery Fits You? A Comparison
Choosing the right bariatric tool depends on your BMI, metabolic history, and discipline. Here is how SADI-S compares to standard options:
| Procedure | Weight Loss Potential | Best Candidate |
|---|---|---|
| Gastric Sleeve (VSG) | Moderate (60-70% EWL) | BMI 30-45. Patients who want a simpler, non-malabsorptive surgery with fewer vitamin risks. |
| Roux-en-Y Bypass (RNY) | High (70-80% EWL) | Severe Acid Reflux (GERD) sufferers. The Gold Standard for typical Type 2 Diabetes. |
| SADI-S (Single Loop DS) | Very High (80-90% EWL) | Super Obese (BMI 50+). Revision cases (failed Sleeve). Patients with uncontrolled Diabetes requiring a strong metabolic effect. |
Why perform this complex surgery in Istanbul?
SADI-S is a technically demanding procedure that requires advanced laparoscopic skills and a deep understanding of bowel anatomy. Not every bariatric surgeon is qualified to perform it. Turkey has become a global hub for Revision Bariatrics due to the high volume of complex cases treated. Our surgeons at Clinic Care Center perform hundreds of these advanced procedures annually, offering a level of expertise that is often difficult to find or prohibitively expensive in general hospitals in Europe or the US.
Frequently Asked Questions about SADI-S
Will I have diarrhea?
Initially, yes. Because the fat absorption is significantly reduced, you may experience loose bowel movements 2 to 4 times a day. This typically normalizes over time as the bowel adapts, but patients must be mindful of their fat intake.
Can I eat sugar?
SADI-S patients typically have a better tolerance for sugar than Roux-en-Y patients, meaning “Dumping Syndrome” is less severe. However, high sugar intake will still cause discomfort and hinder weight loss.
Why is it better than the old Duodenal Switch?
The traditional Duodenal Switch involved two connections and a higher risk of complications. SADI-S achieves similar weight loss results with only one connection, reducing operating time and the risk of intestinal obstruction.
Can I switch from a Sleeve to SADI-S?
Yes, this is the most common indication for SADI-S. If you had a Sleeve years ago and regained weight, converting to SADI-S adds the “malabsorptive” power you need without removing the stomach again.
Is it reversible?
Technically, yes, the bypass portion can be reversed, but it is a complex surgery. It should be considered a permanent life change.
How many vitamins do I need?
You will need a strict regimen. This usually involves high-dose Multivitamins, extra Calcium Citrate, Iron, and fat-soluble vitamins (A, D, E, K) because your body will not absorb them efficiently from food.
How much weight can I lose?
Patients typically lose 80% to 90% of their excess body weight, making it the most effective procedure for those with a very high BMI.
Advanced Solutions for Complex Weight Loss
If you feel you have ‘failed’ previous diets or surgeries, SADI-S might be the metabolic reset you need. At Clinic Care Center, our bariatric professors specialize in these advanced procedures. Contact us today for a free medical evaluation to see if you are a candidate for SADI-S.
Also Read:
Gastric Sleeve in Turkey
Gastric Bypass in Istanbul Turkey
Gastric Balloon in Istanbul, Turkey
