Some patients need more than a restrictive weight-loss procedure alone can provide.
SADI-S combines sleeve gastrectomy with an intestinal bypass to support substantial weight loss and metabolic improvement. It may be considered for people with:
type 2 diabetes
significant weight regain
previous bariatric surgery that did not produce the desired outcome
Total Wellness & Bariatrics helps patients from Frisco, TX, understand whether SADI-S or another bariatric procedure fits their health needs and long-term goals.
The procedure matters, but so does who’s performing it. Here’s what sets our team apart:
Decades of real, hands-on bariatric surgical experience
A structured aftercare program built around long-term success, not just the surgery date
Outpatient options for patients who qualify
Surgeons and staff who take the time to actually walk through your questions
Access to a full range of advanced procedures, including the Mini Sleeve®
SADI-S stands for Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy. The procedure combines two methods of supporting weight loss.
First, the surgeon creates a smaller, sleeve-shaped stomach. This limits how much food the stomach can hold and may reduce hunger.
Next, the surgeon reroutes a portion of the small intestine. Food travels through a shorter digestive pathway, changing how the body absorbs calories and nutrients.
Unlike the traditional duodenal switch, SADI-S creates one intestinal connection rather than two. This simplifies the operation while maintaining a combination of restrictive and metabolic effects.
SADI-S may provide:
Significant and sustained weight-loss potential
Greater metabolic impact than sleeve gastrectomy alone
Improvement in type 2 diabetes and other obesity-related conditions
Reduced hunger and greater fullness after meals
One intestinal connection rather than the two used in a traditional duodenal switch
An option for certain patients who experienced weight regain after a previous procedure
Results and risks differ from patient to patient. A complete medical evaluation is necessary to determine whether the benefits make sense for you.
This procedure tends to suit patients who need more than a standard approach can offer. You might be a candidate if:
Your BMI is above 45
You’re managing type 2 diabetes or another metabolic condition
A prior weight loss procedure didn’t get you to your goal
Sleeve surgery alone wouldn’t go far enough for your situation
Most major insurance plans cover SADI-S, even in cases where other bariatric surgeries hit coverage limits. Our team handles the benefits review and prior authorization legwork so you can stay focused on your health, not the paperwork.
