}January 4, 2022
jDr.. Muhannad Al-Khatib

Single Anastomosis with Sleeve Gastrectomy (SADI-S)

}January 4, 2022
jDr.. Muhannad Al-Khatib

Single Anastomosis with Sleeve Gastrectomy (SADI-S)

Table of Contents

    Single anastomosis with gastric sleeve

    Show the removed section, which is a section of the stomach with the section of the intestine in green

    Single Anastomosis with Sleeve Gastrectomy SADI-S is a modified version of Duodenal switch operation Traditional medicine, which has been used to treat morbid obesity for 30 years in Turkey. SADI-S combines the benefits of gastric bypass and gastric bypass.

    remove operation gastric sleeve 75% of the stomach results in a reduced ability to eat and a lower level of ghrelin, the hormone that causes hunger.

    An intestinal bypass involves dividing the upper part of the small intestine (duodenum) behind the outlet of the stomach (pylor) and connecting the lower part of the small intestine (ileum) to this upper part.

    This results in food bypassing part of the small intestine, resulting in reduced absorption of fat, sugar and calories ingested.

    The amount of small intestine bypassed can vary depending on the weight loss required.

    Advantages of a single anastomosis with SADI-S gastric sleeve procedure

    Studies show that the SADI-S procedure can provide greater weight loss than a standard gastric sleeve or gastric bypass.

    Some of the other advantages of SADI-S include:

    • Combines the advantages of gastric bypass and bypass
    • Less risk of drowning and diarrhea than other bypass methods
    • Less risk of internal hernia

    Disadvantages of a single anastomosis with SADI-S gastric sleeve:

    • Increased risk of leakage due to the presence of two main lines, one for the sleeve, the other for bypass.
    • Longer operation and anesthesia time.

    The SADI-S procedure is a three-step process:

    1. Create a gastric sleeve.
    2. Cut the upper part of the small intestine beyond the value of the gastric outlet.
    3. Connect a loop from the lower part of the small intestine to the upper end of the small intestine.

     

    Illustrative image of a single anastomosis with sleeve gastrectomy

    Illustrative image of a single anastomosis with sleeve gastrectomy

    What is a single anastomosis with a SADI-S laparoscopic sleeve gastrectomy?

     During the procedure, a large part of the stomach is removed to reduce a person's ability to eat and reduce the level of ghrelin (the hunger hormone).
    While the upper part of the small intestine is divided so that the food bypasses part of the small intestine.
    This reduces the number of fats, sugar, and calories the body absorbs.

    What are the benefits of undergoing the procedure? SADI-S?

    According to studies, the SADI-S procedure is able to provide greater weight loss than standard sleeve gastrectomy or gastric bypass surgery.
    Because the surgery combines the benefits of surgeries gastric sleeve Beyond that, it is often a very effective treatment for obese individuals.

    The surgery also has a lower risk of diarrhea compared to other forms of bypass, and there is a lower risk of internal hernias when compared to other surgical weight loss options.

    What is the downside to choosing the SADI-S procedure for weight loss?

    The SADI-S procedure tends to be a much longer process than other surgical weight loss options currently available.

    As a result, the anesthesia time is longer than other procedures.
    There is also an increased risk of leakage with SADI-S.
    This is because there are two baselines - one for punching and one for overtaking.

    Can a duodenal switch help me lose and maintain weight?

    With a duodenal switch, you can expect to lose between 85-100% of your unhealthy excess weight. That could mean losing 150 pounds or more.

    What is annular duodenal switch or monogastric bypass surgery?

    Duodenal switch switching (SADI-S or SIPS) is a modern, safe and highly effective modification of the historical duodenal switch (DS) procedure, also known as bisternal switch with duodenal switch (BPD-DS).

    Like gastric bypass surgery, SADI-S (SIPS) is a restrictive, malabsorptive surgery. Restricted means that the stomach decreases in size, which limits the amount of food you can eat.
    Malabsorption surgery reduces the amount of nutrients your body absorbs, in this case by reducing the size of your small intestine.

    The combination of malabsorption and restriction makes duodenal switch surgery (single anastomosis with gastric sleeve), such as Obesity surgeries On the other hand, it is highly effective in enabling our patients to lose weight and maintain it.

    According to a study by the National Institutes of Health, a duodenal switch (single anastomosis with sleeve gastrectomy) is the most effective bariatric surgery if you have a body mass index (BMI) over 50.

    How is a single anastomosis surgery with a gastric sleeve?

    This surgery involves removing about 85% of your stomach by forming a sleeve gastrectomy at the top. This reduces the amount of food you can eat at one time.

    Additionally, just after the sleeve gastrectomy, the first part of the small intestine immediately after the stomach (called the duodenum) is divided and inserted into a loop of the small intestine up to the stomach to bypass about half of the small intestine.
    This reduces the amount of calories that can be absorbed (as well as the amount of fat) more than bypass.

    What are SADI-S and SIPS procedures?

    SADI-S and SIPS are commonly used medical acronyms for switched annular duodenum.

    How is the current episode's version different from DS traditional?

    traditional procedure, Biliary-pancreatic diversion with duodenal switch (BPD-DS) Or a duodenal switch for gastric bypass (GR-DS) involves bypassing more than 80% of a person's small intestine.

    Duodenal switch surgery Traditional duodenal switch surgery where the stomach is attached to the end of the intestine

    Traditional duodenal switch surgery where the stomach is attached to the end of the intestine

    While this process resulted in significant weight loss, a subset of patients experienced persistent vitamin or protein malnutrition despite taking the supplement.
    This was due to the removal of so much of the small intestine, which limits the patients' ability to absorb essential vitamins and proteins.

     

    Today it is possible to perform a circular version of this operation (SADI-S or SIPS) that bypasses only half of the small intestine.
    Allowing this amount of intestinal length to absorb key nutrients reduces a person's risk of developing vitamin or protein deficiencies while maximizing weight loss in a safe environment.

    However, if you are considering this process as a way to treat type 2 diabetes or increase your chances of long-term weight loss, you must be very committed to fully complying with a daily intake of a certain set of vitamins and proteins for the rest of your body.
    This is critical to help you get past the side effects.
    With this commitment, the SADI-S Process (SIPS) is proven to be safe and highly effective with a healthy diet and vitamin supplementation.

    What should I expect from duodenal switch surgery?

    The primary advantage of annular duodenal switch surgery (SADI-S or SIPS) is that it combines intake restriction (the occlusive portion of the surgery limits the amount of food you can eat) with significant calorie malabsorption (redirection of the intestine reduces absorption of fat and calories) .

    This results in the highest percentage of unhealthy weight loss with the lowest risk of significant weight regain.

    On average, patients can expect to lose 80-100% of their unhealthy weight over a period of approximately 9 months.

    Another important feature of the duodenal switch is that this process is very good at solving health problems associated with obesity such as high blood pressure, sleep apnea and high cholesterol.

    It has the highest success rate of any bariatric surgery in treating type 2 diabetes.

    How is duodenal switch surgery (single anastomosis with gastric sleeve) performed?

    The surgery takes about an hour and a half. This will vary based on your previous surgical history and anatomical structure.
    The typical length of hospital stay is two nights.

    This procedure is almost always done laparoscopically through five small incisions in the abdomen.
    Laparoscopic surgery usually results in a shorter hospital stay, faster recovery, smaller scarring and less pain than open surgical procedures.

    Complications of the duodenal switch

    Although it is unlikely, it is possible for patients after bariatric surgery to experience minor complications. These complications are usually short-lived and can be fixed easily.

    Complications include surgical pain, infection, and excess skin.

    The most common complications of a duodenal switch are increased acid reflux, nutrient deficiencies, and loose or greasy stools.
    Our medical professional works hard to reduce these risks.
    He will repair any hiatal hernias you may have in surgery, and may prescribe antacids as needed.

    You can reduce the risk of nutrient deficiencies by sticking strictly to a daily regimen of vitamin and mineral supplements.
    You can reduce the risk of fatty stools by avoiding eating fatty foods.
    Both activities will improve your health in the long run.

    Postoperative care

    After surgery, you'll spend two or three days in the hospital, and you'll be given pain-control medications to keep you comfortable.

    For the first two weeks after surgery, you'll stay on a fluid-based diet.
    Your surgeon and dietitian will give you a specific diet plan and instructions to follow next.
    It is important to drink plenty of fluids throughout the day to avoid dehydration.

    Duodenal switch diet

    After the duodenal switch, you will need to stick to a healthy diet for bariatric surgery in order to maximize weight loss and restore your health.

    You'll need to eat several small meals each day, consisting of lean proteins, fruits, and vegetables; Avoid carbohydrates and sugars.

    You will also need to supplement your duodenal switch with a daily diet of vitamins and minerals, in order to avoid malnutrition.

    How much pain will I feel after the surgery?

    Any surgical procedures can be painful, but there are some techniques used that relieve pain to a great extent, including endoscopic or assisted surgery. robot.

    What kind of follow-up will I need after surgery?

    After surgery, you will be asked to visit the surgeon after surgery for two weeks and then regular checkups for up to about two years.

    Is SADI-S surgery right for me?

    You may be a good candidate for an annular duodenal switch (SADI-S or SIPS) if you:

    • If your BMI is >50 or you are interested in losing 80-100% of your excess weight
    • You want the best chance of treating type 2 diabetes (up to 98%)
    • You know you will be using your vitamin and protein supplement for life.

    You may not be an ideal candidate for cyclic DS surgery if you:

    • Are deficient in vitamins or minerals (including anemia)
    • have Crohn's disease, a medical condition that requires prednisone or anti-inflammatory medication; Or have undergone several previous abdominal operations
    • Irritable bowel syndrome with frequent diarrhea as DS would be expected to increase softer and more frequent stools.
    • You have severe reflux (the quantitative fraction has been shown to increase reflux after surgery in up to 20% of patients).

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