Sleeve Gastrectomy
First, the sleeve gastrectomy reduces the size of the stomach, helping patients eat smaller meals and feel full sooner.
An advanced bariatric procedure designed for selected patients requiring greater weight loss and metabolic improvement.
Understanding Laparoscopic Sleeve Gastrectomy with Duodeno-Ileostomy (SADI) Surgery
Laparoscopic Sleeve Gastrectomy with Duodeno-Ileostomy (SADI), also known as Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, is an advanced bariatric procedure that combines sleeve gastrectomy with bypass of a significant portion of the small intestine.
During the procedure, a sleeve-shaped stomach is created, and the lower part of the small intestine (ileum) is connected to the first part of the duodenum. This combination reduces food intake while also severely limiting calorie and nutrient absorption to support substantial weight loss and metabolic improvement.
SADI is commonly considered for carefully selected patients, particularly those who have experienced insufficient weight loss or weight regain following sleeve gastrectomy, or individuals who require a more powerful metabolic procedure.
Every treatment plan is individualized following a comprehensive medical evaluation, nutritional assessment, and discussion of long-term treatment goals.
How Laparoscopic SADI Surgery Works
The procedure combines two mechanisms to promote long-term weight loss and improvement in obesity-related diseases.
First, the sleeve gastrectomy reduces the size of the stomach, helping patients eat smaller meals and feel full sooner.
Second, bypassing a large portion of the small intestine changes nutrient absorption and stimulates hormonal changes that support weight loss, improve insulin sensitivity, and enhance metabolic health.
Because SADI has a greater malabsorptive component than many other bariatric procedures, lifelong nutritional supplementation and regular follow-up are essential for maintaining long-term health.
Who Should Consider SADI Surgery
Have a BMI more than 35 kg/m² without any associated diseases or a BMI more than 30 kg/m² with associated diseases like diabetes, hypertension, OSA, etc.
Have severe obesity requiring advanced bariatric treatment
Have experienced inadequate weight loss or weight regain after sleeve gastrectomy
Have obesity-related conditions such as type 2 diabetes, hypertension, or sleep apnea
Need a procedure with greater metabolic benefits than restrictive bariatric surgery alone
Are committed to lifelong nutritional supplementation and regular follow-up care
Have been advised by your bariatric surgeon that SADI is the most appropriate procedure for your condition.
Benefits of Laparoscopic Sleeve Gastrectomy with Duodenoileostomy (SADI)
Significant and sustained weight loss
Powerful metabolic improvement, particularly for type 2 diabetes
Reduced hunger and improved satiety
Greater weight loss than sleeve gastrectomy alone in selected patients
Minimally invasive laparoscopic procedure
Improvement in obesity-related conditions, including hypertension, sleep apnea, high cholesterol, PCOS, joint disorders, and fatty liver disease
Can serve as an effective revision procedure after a previous sleeve gastrectomy
Choosing laparoscopic SADI surgery in Mumbai offers an advanced, evidence-based solution for carefully selected patients requiring greater weight loss and metabolic control.
Possible Risks & Side Effects
Temporary pain, nausea, or vomiting after surgery
Risk of bile reflux or leakage at the surgical connection
Vitamin, mineral, and protein deficiencies requiring lifelong supplementation
Rare bleeding, infection, or bowel-related complications
Acid reflux
*Comprehensive preoperative evaluation, expert surgical care, lifelong nutritional monitoring, and regular follow-up help minimize risks and support safe, successful long-term outcomes.
Our Approach to SADI Surgery
01
A detailed assessment of your medical history, previous bariatric procedures, BMI, metabolic health, and nutritional status helps determine whether SADI is the right treatment.
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Every treatment plan is tailored to your weight loss goals, medical conditions, and long-term health requirements.
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The procedure is performed using advanced laparoscopic and robotic techniques focused on safety, precision, and enhanced recovery.
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Our multidisciplinary team provides individualized dietary counselling, protein planning, vitamin supplementation, and lifestyle guidance to support long-term success.
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Regular clinical reviews, nutritional monitoring, laboratory assessments, and ongoing support help maintain a healthy weight loss while preventing nutritional deficiencies.
Frequently Asked Questions
SADI (Sleeve Gastrectomy with Duodenoileostomy) is an advanced bariatric procedure that combines sleeve gastrectomy with intestinal bypass to promote significant weight loss and metabolic improvement.
The procedure is generally recommended for carefully selected patients with severe obesity, those experiencing weight regain after sleeve gastrectomy, or individuals requiring greater metabolic benefits than sleeve gastrectomy alone.
Many patients achieve approximately 30-40% total body weight loss over 12–18 months, depending on dietary compliance, follow-up care, physical activity, and commitment to long-term lifestyle changes.
Yes. Because SADI reduces nutrient absorption, lifelong vitamin, mineral, and protein supplementation is essential to maintain nutritional health and prevent deficiencies.
Yes. SADI is recognized for its significant metabolic benefits and may help improve or even achieve remission of type 2 diabetes in appropriately selected patients, along with improvements in other obesity-related conditions.
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