An advanced bariatric procedure designed to support significant weight loss and improve metabolic health.

SADI-S stands for Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy. The procedure combines a gastric sleeve with an intestinal bypass to limit food intake and reduce the number of calories absorbed by the body.
During surgery, the stomach is reduced to a smaller sleeve shape. The first portion of the small intestine is then rerouted so food travels through a shorter digestive pathway. SADI-S may provide greater weight loss than a gastric sleeve alone.
SADI-S may offer several potential benefits:
Because SADI-S changes nutrient absorption, patients must commit to lifelong vitamins, appropriate nutrition, and regular medical monitoring.


SADI-S may be considered for patients who require a more powerful surgical weight-loss option or who have experienced insufficient weight loss or weight regain after gastric sleeve surgery.
Your bariatric surgeon will consider your BMI, medical history, nutritional health, previous procedures, and ability to follow long-term dietary and supplement recommendations before determining whether SADI-S is appropriate.
Both procedures include a sleeve gastrectomy, but SADI-S also reroutes part of the small intestine. This adds a malabsorptive component that can support additional weight loss.
Yes. For qualifying patients, a previous gastric sleeve may be converted to SADI-S as a revisional bariatric procedure.
Yes. Lifelong vitamin and mineral supplementation is essential because the procedure reduces nutrient absorption. Regular laboratory testing helps your medical team identify and address potential deficiencies.