Single-anastomosis duodenoileal bypass with sleeve gastrectomy: metabolic improvement and weight loss in first 100 patients

Single-anastomosis duodenoileal bypass as a second step after sleeve gastrectomy

“…Current measurement of the efferent loop is 250 cm, which is similar to the alimentary limb of BPD-DS [4]. The unification of the alimentary and the common limb in a single loop apparently has no negative effect on weight loss, and the reduction to 1 anastomosis saves operative time and reduces the probability of postoperative complications.…”

“…Five years ago, we introduced the single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S), a modified and simplified DS that has demonstrated satisfactory short-and long-term results [4]. After this success, we decided to introduce single-anastomosis duodenoileal bypass (SADI) as a second step after SG for insufficient weight loss.…”

Interdisciplinary European guidelines on metabolic and bariatric surgery

“…Procedures that are under investigation: -Single-anastomosis duodeno-ileal bypass (SADI) with sleeve gastrectomy is a modified duodenal switch operation. This procedure is performed so far only in the framework of clinical trials, and no wider spread of the procedure is recommended until evidencebased data are available [135] . A strictly 'investigational' approach is recommended for different 'intestinal interposition' operations:…”

Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) for obese diabetic patients

“…Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a modified biliopancreatic diversion [6][7][8], which includes most of these antidiabetic mechanisms, and so it is supposed to improve diabetes as well as the original Scopinaro's procedure [9] or the variation introduced by Hess [10].…”