SADI-S
SADI-S is one of the most effective bariatric options available today, offering powerful weight-loss and metabolic benefits for patients who need more than a standard sleeve. At Clinic 360, this advanced surgery is performed by our experienced bariatric team in our state-of-the-art surgical facility, with comprehensive long-term support to help you achieve lasting results.
What is SADI‑S?
SADI‑S (also called single‑anastomosis duodenal switch) starts with a vertical sleeve gastrectomy (gastric sleeve surgery) and then connects the first part of the small intestine (duodenum) to a more distant segment of small bowel. Food still takes a natural route, but part of the intestine is bypassed—delivering restriction + a stronger metabolic/absorption change.
Why some patients consider it:
- Greater average weight‑loss potential vs. gastric sleeve alone
- Strong type 2 diabetes and metabolic improvements
- One bowel connection (vs. two in classic duodenal switch)
What is Gastric Sleeve Surgery ? ( Vertical Sleeve Gastrectomy or VSG )
Gastric Sleeve Surgery removes a portion of the stomach to create a smaller, banana‑shaped sleeve. It reduces hunger and portion sizes while keeping food on a normal path (no intestinal rerouting).
Why it’s our flagship:
- Powerful, well‑studied weight‑loss for many patients
- Simpler anatomy and vitamin routine vs. bypass procedures
- Often a good first‑line surgical option
Which is Right for Me?
Every patient is unique. During your consultation, our surgeons review your health history, weight-related conditions (such as diabetes or sleep apnea), prior surgeries, reflux symptoms, and personal goals to help determine the safest and most effective option.
Gastric Sleeve (VSG)
A great choice if you want a powerful, simpler procedure with fewer long-term nutritional demands—ideal for many first-time bariatric patients who meet the candidacy criteria.
SADI-S
Recommended for patients who need a stronger metabolic effect, have a higher BMI or significant metabolic disease, or those considering revision surgery after a previous sleeve that no longer provides sufficient weight loss or diabetes control.
Your candidacy for either procedure is determined through a comprehensive assessment by our bariatric surgeons.
Gastric Sleeve Surgery vs. SADI-S
Gastric Sleeve Surgery
VSG (Vertical Sleeve Gastrectomy)- Main Approach: Reduces stomach size only
- Expected Weight Loss: ~60–70% excess weight loss
- Metabolic Impact: Strong
- Ideal For: Patients needing significant weight loss, fewer nutritional demands
- Impact on Hunger Hormones: High ghrelin reduction
- Diabetes Improvement: Very good
- Nutrient/Mineral Risk: Moderate
- Digestive Changes: Minimal, more “physiologic”
- Surgery Time: Shorter
- Recovery: Typically faster
- Best For: First-time bariatric patients
SADI-S
(Single Anastomosis Duodeno-Ileal Bypass)- Main Approach: Sleeve + intestinal bypass
- Expected Weight Loss: ~80–90% excess weight loss (more powerful)
- Metabolic Impact: Very strong (more hormonal + malabsorption effects)
- Ideal For: Patients needing maximal weight loss or have weight regain after sleeve
- Impact on Hunger Hormones: High ghrelin reduction + added metabolic change
- Diabetes Improvement: Often excellent, higher remission rates
- Nutrient/Mineral Risk: Higher, requires strict vitamins + monitoring
- Digestive Changes: More rerouting; may cause softer stools / malabsorption
- Surgery Time: Slightly longer
- Recovery: Similar timeframe, but more long-term follow-up
- Best For: Revision from sleeve or patients with BMI > 50
Cost & Finance
What is The Cost of SADI-S?
The cost of SADI-S surgery is $22,000, which includes our comprehensive 6-Year Aftercare Program to support your long-term success. Your investment covers surgeon care, follow-ups, nutritional guidance, and ongoing support to help you maintain lasting results.
We also offer flexible financing options — including $0 down and 0% interest financing (if qualified) — to make treatment more accessible.
Book your free consultation to learn more and explore the best option for you.