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
Ready for your transformation?
Book Your Free Consultation Today!
Every patient’s story is different. Our bariatric specialists will walk you through each option, answer your questions, and help you feel confident in your decision—whether that’s the Sleeve or SADI-S.
Explore your options today and see which procedure is the best fit for you.