Single Anastomosis Duodenoileal Bypass in Dallas, TX

Single Anastomosis Duodenoileal Bypass (SADI)

Single Anastomosis Duodenoileal Bypass Surgery in Dallas, TX: It is estimated that around 2 billion adults worldwide are overweight.

According to a survey in 2021 from 30 different countries, obesity ranked the fifth biggest health problem facing their countries.

This shows that obesity is a serious health challenge that requires keen attention.

While dieting and exercising can help some people stay in shape, they’re not practical for most significantly overweight or obese people.

Single anastomosis duodenoileal bypass (SADI) is a new weight loss surgery that can help people that are significantly overweight or obese. This weight loss surgery can assist you in losing as much as 90% of your excess body weight.

What is single anastomosis duodenoileal bypass?

Single-Anastomosis duodenoileal bypass (SADI) is a weight loss procedure combining restrictive and malabsorptive effects to provide drastic weight loss. It involves deflating the size of your stomach to restrict food intake and bypassing a portion of your small intestine to limit the absorption of calories and nutrients from the food you eat.

This surgery provides drastic weight loss by reducing the amount of food you eat and limiting the absorption of calories and nutrients.

Eligibility criteria for Single anastomosis duodenoileal bypass in Dallas, Tx

Ideal candidates for SADI include:

• Individuals with a BMI of 35 to 49 with comorbid conditions such as type 2 diabetes, high blood pressure, sleep apnea, etc.
• Individuals with a BMI of 50 and above with no comorbidities.
• Individuals who have had a previous bariatric surgery such as sleeve gastrectomy without losing much weight or have experienced weight regain.
• Individuals for SADI should be 18 years and above.
• It is not ideal for pregnant women, breastfeeding mothers, or women planning to get pregnant.

How long does SADI bypass take?

It takes 2-3 hours for the surgery to be completed.

Purpose of single anastomosis duodenal-ileal bypass

SADI is often used for very obese individuals. It provides one of the most drastic weight loss results compared to other bariatric surgery like a gastric sleeve or gastric bypass.

SADI combines restrictive and malabsorptive measures to provide 80-90% of total weight loss within 18 months. It combines gastric sleeve and gastric bypass to provide drastic weight loss that either gastric sleeve or gastric bypass fails to deliver.

SADI has been proven to reduce or eliminate obesity-related comorbidities such as type 2 diabetes, high blood pressure, heart diseases, sleep apnea, etc.

SADI Procedure

SADI is performed in two stages.

The first stage of the surgery is to reduce the stomach size. About 80% of the stomach is cut off, leaving only 20% for food intake. Laparoscopy guidance is used to access the stomach via several small abdominal incisions. The outer part of the stomach is cut off, leaving a banana-shaped stomach.

By cutting off 80% of your stomach, you will only be able to eat a small portion of food. You also feel full when you eat small amounts of food and don’t go hungry so often.

The second stage of the surgery is the gastric bypass, where the upper half of your small intestine is cut off and rerouted. The upper part of your intestine is cut off from the duodenum and the lower part of the small intestine. The remaining portion of the small intestine is attached to the duodenum just below the stomach. The food you eat goes through the stomach into the remaining part of your small and large intestines.

The foods you eat bypass about 2/3 of your digestive system. This significantly reduces the number of calories and nutrients that your body can absorb from the food you eat.

How long has the SADI bypass been around?

Single anastomosis duodenoileal bypass is a relatively new bariatric procedure. It offers drastic weight loss that sleeve gastrectomy or gastric bypass can’t provide. It was first described in 2007.

The American Society for Metabolic and Bariatric Surgery has recently approved SADI as a weight loss surgery.

Risk of SADI bypass

SADI is a more complex procedure than gastric sleeve or gastric bypass. Just like other bariatric surgery, SADI possesses risks of complications. While some are minor complications, others are serious complications.

Risks and complications with SADI surgery may include:

• Perforation of intestines
• Leaks from staple sites
• Infections or abscesses
• Blood clots
• Liver bile reflux
• Bowel obstruction
• Nutritional deficiencies
• Pain
• Obstructions
• Acid reflux
• Loose or fatty stools

How much does it cost for a Single anastomosis duodenoileal bypass surgery in Dallas, TX?

Single anastomosis duodenoileal bypass surgery costs vary depending on the surgeon’s expertise, location, additional care, and other related expenses. The cost of SADI typically ranges from $15,000 to $20,000.

Outcomes of Single Anastomosis Duodenoileal Bypass surgery

SADI provides excess weight loss of up to 80-90%. The weight loss after SADI surgery can be rapid and drastic. Patients commonly see the most weight loss in the first three months after surgery. Patients will continue to lose weight over several months. Adherence to healthy lifestyle changes such as eating healthy and exercising is essential.

Note that SADI significantly restricts the body’s absorption of vitamins and nutrients. You will need to take daily supplements to make up for lost nutrients and vitamins.

FAQS

What is the difference between SADI and DS?

SADI and duodenal switch (DS) are similar but are not entirely the same.

The only difference is that the duodenal switch consists of two intestinal bypass routes, while SADI only contains one.

Is SADI the same as the duodenal switch?

SADI is similar to a duodenal switch, but they’re not entirely the same. SADI and DS combine gastric sleeve and gastric bypass, but the duodenal switch consists of two intestinal bypass routes, while SADI only contains one intestinal bypass route.

Is the SADI safe?

SADI is an excellent surgery to reduce excess weight drastically. It is a complex surgery and should only be provided by highly skilled and experienced bariatric surgeons.

While SADI is safe, especially if provided by a highly skilled and experienced bariatric surgeon, it is not for everyone.

SADI is for individuals who are extremely obese and individuals who have tried gastric sleeves without good results.

Consult with your doctor before undergoing SADI surgery or any other bariatric surgery.

What is a SADI revision?

SADI is a more simplified version of the duodenal switch. Individuals with gastric sleeves without losing or regained weight may have SADI as revision surgery.

What can I eat after the SADI bypass?

After your surgery, you will be given a dietary plan to follow as you recover.

Immediately after the surgery, your stomach is tender and can’t digest solid foods. You will need to take only clear liquids such as water. You can start eating regular foods in 3 months when your stomach and body must have completely healed.

For the first few days;

You’ll only need to drink clear liquids such as water. Once you’re handling clear liquids well, you can move to other liquids, such as:

• Unsweetened juice
• Decaffeinated tea or coffee
• Skim milk
• Broth
• Sugar-free gelatin or popsicles

After a week;

You can start eating strained and pureed foods. The foods you eat should have a smooth paste or thick liquid without solid pieces.

Eat in very small portions. You can eat 3-6 small meals a day. Ensure that you eat slowly.

Strained and pureed foods that you can eat include:

• Soft scrambled eggs
• Mashed lean meat, poultry, or fish
• Cottage cheese
• Cooked cereal
• Soft fruits and cooked vegetables
• Strained cream soups

After a few weeks;

You can start eating soft foods. Eat soft foods in small portions. They should be easy to chew and swallow. Chew gently and thoroughly before swallowing.

Soft foods that you can eat include:

• Cooked eggs
• Lean meat or poultry
• Flaked fish
• Cottage cheese
• Cooked cereal
• Cooked vegetables
• Rice
• Canned or soft, fresh fruit, without their seeds or back skin

After about eight weeks;

You can start eating solid foods. By this time, your stomach must have healed significantly and can now tolerate solid foods. Always eat foods in small portions and chew them thoroughly before swallowing so that you don’t expand your stomach and to aid easy digestion.

You can go back to your usual diets but pay attention to certain foods that may cause adverse impacts such as nausea, vomiting, or stomach pain. Avoid foods that cause any of these adverse effects.

KediaMD: Best Clinic to get Single Anastomosis Duodenoileal Bypass in Dallas, TX

If you’re extremely obese and looking for an effective treatment to lose weight, take the first step by booking an appointment with a highly skilled and experienced bariatric and gastroenterology surgeon like Dr. Kedia.

Dr. Prashant Kedia specializes in bariatric and Single Anastomosis Duodenoileal Bypass in Dallas, Tx. He has an unmatched patient experience with outstanding results.

To learn more about SADI surgery or find out which weight loss surgery is best for you, we encourage you to book an appointment with Dr. Kedia or call us today.

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