SADI-S Surgery in Turkey Cost

SADI-S surgery cost in Turkey varies according to the patient’s medical history, previous bariatric surgery, required preoperative investigations, hospital services, surgical complexity and the services included in the written treatment plan.

Clinic Care Center’s current estimated price range for primary SADI-S surgery is approximately $4,500–$6,000. Revision or conversion surgery may require a different treatment plan and may cost approximately $5,000–$7,000, depending on the previous operation and current anatomy.

These figures are estimates rather than guaranteed prices or national averages. A final quotation should only be provided after individual medical assessment and confirmation of the planned procedure.

SADI-S, or Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, is a metabolic and bariatric surgical procedure that combines a sleeve-shaped stomach with an intestinal bypass. It changes both stomach capacity and the path through which food travels in the small intestine.

Patients considering other weight-management procedures can also review the Bariatric Surgery in Turkey section.

How Much Does SADI-S Surgery Cost in Turkey?

Important: these ranges are estimates. The final price depends on the patient’s medical assessment, previous bariatric procedures, required investigations, hospital care and individual treatment plan.

What Can Affect the Cost of SADI-S Surgery?

The final treatment cost may be influenced by factors including:

• whether SADI-S is a primary or revision procedure;
• previous sleeve gastrectomy or other bariatric surgery;
• current gastrointestinal anatomy;
• preoperative laboratory investigations;
• additional specialist assessments when medically indicated;
• anesthesia requirements;
• surgical complexity;
• hospitalization requirements;
• medications and postoperative care;
• nutritional assessment and follow-up;
• accommodation and transfers, only when specifically included in the written quotation.

Patients should receive a written treatment plan explaining the procedure and the services included before travelling.

Who Performs SADI-S Surgery for Clinic Care Center Patients?

Clinic Care Center is a medical tourism provider and does not independently perform bariatric surgery.

For patients whose treatment is coordinated through Clinic Care Center, SADI-S surgery is performed by Assoc. Prof. Dr. Gökmen Öztürk, a General Surgery Specialist with a clinical focus on bariatric, metabolic and laparoscopic surgery.

Surgical procedures coordinated for his patients take place at Özel Aile Hastanesi in Istanbul, Turkey, subject to individual medical assessment and confirmation in the treatment plan.

Medical assessment, diagnosis, determination of suitability, selection of the appropriate bariatric procedure, surgery, prescriptions and clinical follow-up remain the responsibility of the treating physician and medical facility.

Clinic Care Center coordinates communication, appointments, treatment quotations and travel-related services for international patients.

What Is SADI-S Surgery?

SADI-S stands for Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy.

The operation combines two main surgical components:

1. A sleeve gastrectomy creates a smaller, tube-shaped stomach.
2. The duodenum is divided beyond the pylorus and connected to a more distal section of the small intestine, creating one intestinal anastomosis.

As a result, food passes through the sleeve-shaped stomach and pylorus before entering a shorter functional pathway through the small intestine.

SADI-S therefore affects both food intake and nutrient absorption.

Does SADI-S Preserve the Pylorus?

Yes. SADI-S preserves the pyloric valve located at the outlet of the stomach.

This is one anatomical difference between SADI-S and Roux-en-Y gastric bypass.

However, preservation of the pylorus should not be interpreted as a guarantee that patients will never experience gastrointestinal symptoms such as reflux, nausea, altered bowel habits or food intolerance.

How Does SADI-S Differ From Gastric Sleeve Surgery?

A gastric sleeve reduces stomach size without intentionally bypassing a segment of the small intestine.

SADI-S begins with a sleeve-type stomach but adds an intestinal bypass.

This additional intestinal component means SADI-S generally requires more intensive long-term nutritional monitoring than sleeve gastrectomy alone.

SADI-S vs Gastric Bypass

SADI-S and Roux-en-Y gastric bypass are different metabolic and bariatric procedures.

Roux-en-Y gastric bypass creates a small gastric pouch and two intestinal connections. SADI-S uses a sleeve-shaped stomach, preserves the pylorus and uses a single duodeno-ileal intestinal connection.

These anatomical differences can affect:

• nutrition and vitamin absorption;
• bowel habits;
• reflux symptoms;
• weight-loss patterns;
• metabolic outcomes;
• long-term follow-up requirements.

Neither operation should automatically be described as the best procedure for every patient.

Who May Be Considered for SADI-S?

SADI-S may be considered in selected patients who meet criteria for metabolic and bariatric surgery and whose individual clinical circumstances make the procedure appropriate.

Current metabolic and bariatric surgery guidance generally recommends surgery for adults with a BMI of 35 kg/m² or higher, regardless of the presence of obesity-related conditions.

Surgery may also be considered for selected patients with a BMI of 30–34.9 kg/m², particularly when metabolic disease or obesity-related health problems have not improved sufficiently with non-surgical treatment.

However, these are general criteria for metabolic and bariatric surgery. They do not mean that every eligible patient should undergo SADI-S.

Procedure selection may take into account:

• BMI and body composition;
• type 2 diabetes and metabolic health;
• previous weight-management treatment;
• previous bariatric surgery;
• reflux symptoms;
• eating patterns;
• nutritional status;
• medications;
• other medical conditions;
• ability to follow lifelong nutritional supplementation;
• ability to attend long-term medical follow-up;
• individual risks and treatment goals.

Can SADI-S Be Performed After a Gastric Sleeve?

Yes, in selected patients.

SADI-S can be considered as a revision or conversion procedure in some patients who previously underwent sleeve gastrectomy.

Reasons for considering revision may include:

• insufficient weight loss;
• clinically significant weight regain;
• metabolic disease requiring further treatment;
• other issues that require revision of the previous bariatric plan.

A previous sleeve does not automatically mean SADI-S is the appropriate revision.

The surgeon should review the original procedure, current stomach anatomy, symptoms, nutritional status and alternative revision options before making a recommendation.

Preoperative Assessment Before SADI-S

SADI-S is a major metabolic and bariatric operation and requires individual preoperative assessment.

Depending on the patient, assessment may include:

• medical and surgical history;
• previous bariatric procedure reports;
• current medications;
• BMI and weight history;
• blood count;
• iron and ferritin;
• vitamin B12 and folate;
• vitamin D and calcium-related testing;
• liver and kidney function;
• blood glucose and diabetes assessment;
• nutritional evaluation;
• cardiovascular assessment when indicated;
• respiratory or sleep apnea assessment when indicated;
• additional imaging or endoscopy when medically appropriate.

The exact investigations should be determined by the treating medical team rather than assumed to be identical for every patient.

SADI-S and Type 2 Diabetes

Metabolic and bariatric surgery can substantially improve blood glucose control in appropriately selected patients with obesity and type 2 diabetes.

Studies of SADI-S have also reported improvement or remission of type 2 diabetes in many patients.

However, a fixed diabetes remission percentage should not be promised to an individual patient.

Outcomes may depend on factors including:

• duration of diabetes;
• pancreatic beta-cell function;
• current diabetes medications;
• insulin use;
• weight loss;
• age;
• other metabolic conditions.

Patients must continue diabetes monitoring and should not stop medication unless instructed by their treating physician.

How Much Weight Can I Lose After SADI-S?

SADI-S has been associated with substantial weight loss in published studies, including medium- and longer-term follow-up.

However, no exact percentage of weight loss can be guaranteed for an individual patient.

Weight outcomes depend on factors including:

• starting weight and BMI;
• metabolic health;
• surgical anatomy;
• nutrition;
• physical activity;
• medications;
• long-term follow-up;
• individual biological response.

It is more appropriate to discuss expected ranges during an individual consultation rather than promise a fixed amount of weight loss.

Vitamin and Nutritional Requirements After SADI-S

Lifelong nutritional supplementation and monitoring are particularly important after SADI-S.

Because the operation changes the intestinal pathway, deficiencies can occur even when a patient feels well.

Follow-up may include monitoring of:

• protein and albumin;
• iron and ferritin;
• vitamin B12;
• folate;
• thiamine;
• vitamin D;
• calcium and parathyroid hormone;
• fat-soluble vitamins A, E and K when appropriate;
• zinc;
• copper;
• other nutrients when clinically indicated.

The exact supplement type and dose should be prescribed according to the patient’s procedure, laboratory results, diet and clinical follow-up.

Patients should not assume that a standard over-the-counter multivitamin is sufficient for every SADI-S patient.

Protein Intake After SADI-S

Adequate protein intake is important after SADI-S because reduced food intake and altered absorption can increase the risk of protein deficiency in some patients.

Protein targets should be individualized by the bariatric medical and nutrition team.

Persistent symptoms such as marked weakness, swelling, unexplained muscle loss or prolonged gastrointestinal symptoms should be medically evaluated rather than managed only with supplements at home.

Possible Nutritional Deficiencies

Published evidence has identified nutritional deficiencies as an important long-term consideration after SADI-S.

Possible problems include:

• iron-deficiency anemia;
• low vitamin D;
• calcium-related abnormalities;
• vitamin B12 deficiency;
• folate deficiency;
• fat-soluble vitamin deficiencies;
• low protein or albumin;
• other micronutrient deficiencies.

The risk is one reason SADI-S should not be selected solely because of its potential for greater weight loss.

A patient’s willingness and ability to maintain long-term nutritional follow-up should form part of procedure selection.

Risks and Possible Complications of SADI-S

Like other major bariatric operations, SADI-S can cause early and long-term complications.

Potential risks include:

• bleeding;
• infection;
• anesthesia-related complications;
• staple-line or anastomotic leak;
• blood clots and pulmonary embolism;
• dehydration;
• nausea or vomiting;
• bowel obstruction;
• abdominal pain;
• reflux symptoms;
• bile reflux;
• diarrhea or frequent bowel movements;
• steatorrhea;
• nutrient deficiencies;
• anemia;
• protein malnutrition;
• gallstone formation associated with rapid weight loss;
• need for endoscopic, medical or additional surgical treatment.

The individual risk profile depends on medical history, previous operations, BMI, surgical anatomy and other patient-specific factors.

Does SADI-S Cause Diarrhea?

Some patients experience looser or more frequent bowel movements after SADI-S because the operation changes digestion and nutrient absorption.

The degree varies considerably between patients.

Dietary fat intake, intestinal adaptation, medication, infection and other gastrointestinal conditions may influence bowel habits.

Persistent diarrhea should not simply be considered a normal consequence of surgery. It may require assessment of hydration, nutrition, medications and possible complications.

Can SADI-S Cause Reflux?

Reflux symptoms can occur after SADI-S.

Preservation of the pylorus does not mean reflux is impossible.

Patients with significant reflux symptoms before surgery require careful assessment because procedure selection may be influenced by the type and severity of reflux.

New or persistent symptoms such as burning, regurgitation, upper abdominal pain, persistent vomiting or difficulty swallowing should be reported to the treating team.

Is SADI-S Reversible?

SADI-S should not be described simply as a reversible operation.

The sleeve gastrectomy component permanently removes part of the stomach.

The intestinal bypass may technically be revised or altered in selected circumstances, but doing so requires another major operation and carries its own risks.

Revision should therefore not be viewed as an easy backup option.

Is the Gallbladder Routinely Removed During SADI-S?

No. Routine gallbladder removal should not be assumed to be part of every SADI-S operation.

Rapid weight loss after bariatric surgery can increase the likelihood of gallstone formation, but gallbladder management should depend on the patient’s symptoms, investigations and individual medical assessment.

Medication may be considered in some patients, but it should only be prescribed by the treating physician.

Hospital Stay After SADI-S

The length of hospitalization should be determined by the patient’s clinical condition rather than guaranteed in advance.

Before discharge, the treating team may assess factors such as:

• vital signs;
• pain control;
• hydration;
• ability to tolerate the planned oral intake;
• mobility;
• laboratory findings when required;
• signs of bleeding, leak or other complications.

A longer hospital stay may be necessary if additional monitoring or treatment is required.

Recovery After SADI-S

Recovery varies according to the individual patient and whether the surgery is primary or revisional.

During the early period, patients may experience:

• abdominal discomfort;
• fatigue;
• temporary nausea;
• changes in bowel habits;
• reduced food tolerance;
• changes in hydration requirements.

The postoperative diet is normally advanced gradually according to the bariatric team’s protocol.

Patients should receive clear instructions regarding hydration, nutrition, medication, wound care, physical activity and warning symptoms before discharge.

When Can I Return to Work?

There is no single return-to-work timeline that applies to every SADI-S patient.

Timing depends on:

• the individual recovery process;
• primary versus revision surgery;
• the physical demands of the patient’s occupation;
• pain and fatigue;
• hydration and nutritional intake;
• the occurrence of complications.

Patients with physically demanding jobs may require more recovery time than those returning to light desk-based work.

When Can I Fly After SADI-S Surgery?

International patients should not book their return flight based solely on a fixed number of postoperative days.

Fitness to fly can depend on:

• clinical recovery;
• mobility;
• hydration;
• risk of venous thromboembolism;
• wound condition;
• the presence of complications;
• duration of the flight;
• surgeon approval.

The return journey should be discussed with the treating medical team before travel arrangements are finalized.

Long-Term Follow-Up After SADI-S

SADI-S requires long-term medical and nutritional follow-up.

Follow-up should not end when the patient returns home.

A long-term plan may include:

• regular laboratory monitoring;
• vitamin and mineral supplementation;
• protein and nutrition assessment;
• weight monitoring;
• metabolic disease monitoring;
• review of gastrointestinal symptoms;
• bone-health assessment when indicated;
• medication review;
• coordination with healthcare professionals in the patient’s home country.

Patients considering SADI-S should understand this long-term commitment before choosing the procedure.

What May Be Included in a SADI-S Treatment Plan?

Depending on the individual written quotation, the treatment plan may include some or all of the following:

• surgeon and medical team fees;
• planned SADI-S surgery;
• hospital operating facilities;
• anesthesia;
• preoperative tests specified in the plan;
• hospitalization;
• prescribed medications;
• initial postoperative assessments;
• nutrition instructions;
• accommodation, if specifically stated;
• airport or local transfers, if specifically stated;
• international patient coordination.

Patients should not assume that accommodation, VIP transfers, a companion’s hotel, a fixed period of dietitian support or every future laboratory test is automatically included.

The written quotation should state clearly what is included and what is not included.

Frequently Asked Questions About SADI-S Surgery in Turkey

How much does SADI-S surgery cost in Turkey?

Clinic Care Center’s current estimated range for primary SADI-S surgery is approximately $4,500–$6,000. Revision or conversion surgery may cost approximately $5,000–$7,000. The final quotation depends on individual medical assessment and treatment planning.

Is SADI-S the same as gastric bypass?

No. SADI-S preserves the pylorus and uses a sleeve-shaped stomach with a single duodeno-ileal connection. Roux-en-Y gastric bypass creates a gastric pouch and uses a different intestinal reconstruction.

Is SADI-S better than gastric sleeve?

Not for every patient. SADI-S changes nutrient absorption more substantially and requires particularly careful lifelong nutritional monitoring. Procedure selection should be based on individual medical assessment rather than assuming one operation is universally better.

Can SADI-S be performed after gastric sleeve?

Yes, it can be considered as a revision or second-stage procedure in selected patients. The suitability of SADI-S depends on the previous operation, current anatomy, nutritional status, symptoms and treatment goals.

Does SADI-S cure diabetes?

No individual patient should be promised a diabetes cure. Metabolic surgery can substantially improve type 2 diabetes in selected patients, but the degree of improvement varies. Diabetes medication should only be changed under medical supervision.

Will I need vitamins after SADI-S?

Yes. Long-term supplementation and laboratory monitoring are essential parts of SADI-S follow-up because the operation can reduce absorption of several vitamins, minerals and nutrients.

Does everyone lose the same amount of weight?

No. Weight loss varies according to starting weight, metabolic health, surgical anatomy, nutrition, physical activity, medications and individual biological response.

Can SADI-S cause malnutrition?

Yes. Nutritional deficiencies and protein malnutrition are recognized potential complications. Lifelong supplementation, appropriate nutrition and regular laboratory monitoring are important for reducing and detecting these risks.

Is SADI-S reversible?

The sleeve component is not reversible because part of the stomach has been removed. The intestinal component may be revised in selected situations, but revision is another major surgical procedure.

Are hotel and transfers included in the price?

Only when these services are explicitly listed in the patient’s written quotation.

Are SADI-S results guaranteed?

No. Weight loss, metabolic improvement, bowel habits, nutritional outcomes and the risk of complications vary between patients. Medical outcomes should not be guaranteed.

Medical References

• American Society for Metabolic and Bariatric Surgery – SADI-S
• International Federation for the Surgery of Obesity and Metabolic Disorders – SADI-S Position Statement
• ASMBS and IFSO – Indications for Metabolic and Bariatric Surgery
• Systematic Review – SADI-S Indications, Outcomes and Nutritional Considerations
• ASMBS – Nutritional Guidelines for Bariatric Surgery Patients

Request Information About SADI-S Surgery

The Clinic Care Center international patient coordination team can provide information about SADI-S surgery, current estimated costs, the initial medical assessment process and treatment coordination in Istanbul.

Patients may be asked to provide information such as:

• height and weight;
• medical history;
• current medications;
• obesity-related medical conditions;
• previous weight-management treatments;
• previous bariatric surgery reports;
• recent laboratory results when available.

An initial remote review can help determine the next steps but does not replace the clinical assessment required to confirm suitability for SADI-S.

Medical Disclaimer

The information on this page is provided for general education and does not replace individual medical assessment, diagnosis or treatment advice.

Eligibility for SADI-S, the appropriate surgical procedure, expected outcomes, nutritional requirements, possible risks and recovery vary between patients. Final medical decisions should be made by the treating bariatric surgical team after individual assessment.