Single Anastomosis Duodenal Switch (Sadi, Sips, Sads)
Single Anastomosis Duodenal Switch, also called SADS, is a modified and less invasive form of the duodenal switch procedure. It is sometimes referred to as SIPS, SADS, or Loop DS.
This bariatric surgery is designed to accomplish two goals:
- Limit the amount you eat
- Limit the nutrient amount you take in
The procedure is very similar to the regular duodenal switch. Where both procedures differ is that in a single anastomosis duodenal switch, transection of the intestine occurs only at a single point. Hence the term ‘single’. During the procedure, the surgeon will remove a significant part of your stomach. This reduces the quantity of food that can be held in your stomach. Even though the size of the stomach reduces in size, it will continue to function as it did before.
What is the SADS Procedure?
In this procedure, the small intestine is transected at one point and the size of the stomach is reduced. Since nearly fifty percent of the small intestine is sidestepped, you will feel a reduced desire to eat. You will require smaller quantities of food to be satiated. By removing a large section of your stomach, you will eat smaller quantities of food at every meal. You will also absorb fewer calories.
The portion of your stomach that secretes the ghrelin hormone is largely removed. Ghrelin triggers that ‘hungry’ feeling. By removing it entirely, you will feel fuller faster. At the same time, by bypassing the upper half of your small intestine, the surgeon creates a loop. The food you eat sidesteps the small intestine. It reduces the number of nutrients and calories you will absorb. In addition, the food you eat will fill up a portion of the intestine that produces hunger-reducing or satiation hormones faster. This diminishes your appetite.
All these mechanisms work together to help you achieve your target weight.
What to Expect During the SADS Procedure?
In the SADS procedure, a gastrectomy sleeve is created to create hunger and food restriction control. Once the sleeve is inserted, the intestine is redirected. However, instead of creating two connections like in a traditional duodenal switch, only a single loop configuration is made. With just one loop, the SADS procedure is completed faster.
The entire SADS surgery requires up to an hour and a half. Patients recover in a similar way as other bariatric surgeries. Since the food first enters the sleeve, patients do not experience the ‘dumping syndrome’ as they would in a regular gastric bypass.
Recovery and Expected Results
Once you undergo a SADS procedure, you will be expected to stay in the hospital for up to 48 hours. Most patients are able to resume normal activities within two weeks. Lifting heavy objects is not recommended for the first month after the procedure.
Most patients will lose up to 80% of their excess body weight within the first year after the SADS procedure. Results vary according to the patient. Your doctor may recommend taking additional vitamin and mineral supplements, especially A, D, K, and E.
How Much Does SADS Cost?
The overall cost of a single anastomosis duodenal switch or SADS procedure is affected by anesthesia fees, hospital fees, post-surgery garments, and medications. Price is also impacted by medical tests, surgeon’s fees, and the exact techniques employed.
Schedule a Consultation
Contact Detroit Weight Loss Doc today to schedule a consultation for your Single Anastomosis Duodenal Switch in Detroit. Dr. Sousa is a fellowship-trained Bariatric surgeon who is dedicated to providing our patients with the expert surgical care they need.
Your procedure will be performed in Dr. Sousas’s surgery center located in Madison Heights, MI, just outside of Detroit.