Digestive Health Institute
by Dr. Muffi
Digestive Health Institute
by Dr. Muffi
SADI Procedure
What is SADI?
SADI (Single Anastomosis Duodeno-Ileal Bypass) is a next-generation weight loss surgery that combines two powerful approaches:
- Sleeve Gastrectomy (removing a portion of the stomach)
- A single intestinal bypass to limit calorie absorption
It’s designed to deliver exceptional weight loss, improve metabolic conditions, and reduce hunger.
Key Features of SADI
- Substantial Weight Loss: Patients often lose 70–80% of excess weight
- Improved Metabolic Health: Helps resolve or improve conditions like type 2 diabetes, high blood pressure, and sleep apnea.
- Minimally Invasive: Typically performed laparoscopically/ robotic, leading to faster recovery and less scarring.
- Lower Risk of Dumping Syndrome: Preserves the pylorus, which helps regulate food passage and reduces unpleasant symptoms
Who is it recommended for
- Patients with severe obesity who need a long-term weight loss solution, for individuals with a BMI ≥ 40
- Individuals with Type 2 Diabetes, struggling with blood sugar control
- Patients with weight regain post bariatric surgery/revisional surgery.
Nutrition Care Plan for Pre- and Post-Bariatric Procedure
Before Surgery:
Follow a 7-day liquid diet to help shrink your liver and prepare your body for a safer procedure.
After Surgery:
You’ll follow a structured diet plan to support healing and healthy weight loss:
- Week 1-2: Clear and full liquids
- Weeks 3-4: Soft or pureed foods
- Week 4 and beyond: Gradual reintroduction of healthy solid foods
This step-by-step plan helps your stomach heal and supports healthy weight loss.
To minimize digestive discomfort, avoid:
- High-fat foods (fried, greasy, creamy)
- Simple carbs (sweets, white bread, pasta, sugary cereals)
- Lactose-containing products (milk, some protein shakes)
How is SADI Different from Other Bariatric Procedures?
|
Feature
|
Gastric Bypass (RNY)
|
Sleeve Gastrectomy
|
SADI
|
|---|---|---|---|
What digestive changes should I expect?
You may notice:
- Frequent bowel movements (2–4 times per day)
- Loose stools
- Increased gas or flatulence
These changes occur because not all food is fully digested. Diet choices—especially high-fat or high-carb foods—can worsen these symptoms.
Is vitamin and nutrient deficiency a concern?
Yes. Due to malabsorption, lifelong vitamin and mineral supplementation is typically required. You will need regular blood work to monitor your nutritional status.
