Bariatric surgery has become an increasingly popular option for individuals struggling with obesity, especially when traditional methods like diet and exercise have not yielded the desired results. Among the various surgical options available, the SADI-S (Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy) procedure has emerged as a great choice for those seeking significant weight loss. But is SADI-S the right option for you? This blog will explore the criteria that make someone a good candidate for SADI-S and help you evaluate whether this procedure aligns with your weight loss objectives and health needs.
Understanding the SADI-S Procedure
Before diving into candidacy criteria, it’s important to understand what SADI-S entails. SADI-S is a modified version of the traditional duodenal switch surgery, combining two effective techniques: sleeve gastrectomy and intestinal bypass. During the procedure, approximately 75% of the stomach is removed, which limits food intake and reduces the production of ghrelin, the hunger hormone. The small intestine is then rerouted to bypass a significant portion of the digestive tract, which reduces the absorption of calories, fats, and sugars.
This dual approach not only helps with weight loss but also offers benefits in terms of managing obesity-related conditions such as type 2 diabetes and sleep apnoea. However, the procedure is not without its risks, and not everyone is a suitable candidate.
Who Is a Good Candidate for SADI-S?
Body Mass Index (BMI)
- BMI Over 40: SADI-S is typically recommended for individuals with a BMI of 40 or higher, which classifies as morbid obesity. For these patients, the potential benefits of the surgery often outweigh the risks.
- BMI of 35–39.9 with Comorbidities: Patients with a BMI in this range may also be considered if they suffer from obesity-related health conditions such as diabetes, hypertension, or sleep apnoea. These conditions can significantly improve following the surgery.
Previous Weight Loss Surgery
- Failure of Previous Procedures: If you have previously undergone a weight loss surgery like gastric banding or a standard gastric bypass but have not achieved the desired results, SADI-S might be an effective option. It can offer more significant weight loss and help with managing any complications from prior surgeries.
Commitment to Lifestyle Changes
- Long-term Commitment: SADI-S is not a quick fix. It requires a lifelong commitment to dietary changes, regular exercise, and follow-up care. Patients must be willing to adhere to a strict postoperative diet and attend regular check-ups to monitor their health and nutritional intake.
- Psychological Readiness: Psychological evaluation is often part of the candidacy assessment. Patients need to be mentally prepared for the challenges that come with such a significant lifestyle change. This includes managing the emotional aspects of eating and adhering to new eating habits.
General Health Condition
- Overall Health: While SADI-S can help manage obesity-related conditions, it is important that you are in relatively good health to undergo the procedure. Severe cardiac or respiratory conditions, as well as certain gastrointestinal disorders, may increase surgical risks.
- Age Considerations: While there is no strict age limit for SADI-S, younger patients generally have fewer complications. However, older patients with significant health issues might face increased risks.
Who Might Not Be a Good Candidate?
SADI-S might not be the best option for everyone. Individuals who have not yet tried less invasive weight loss methods, such as medically supervised diets or medication, may be encouraged to explore these options first. Additionally, patients with severe malabsorption issues, or those unwilling to commit to the necessary lifestyle changes, may need to consider alternative treatments.
Is SADI-S Right for You?
Determining whether SADI-S is the right bariatric surgery for you requires careful consideration of your health, weight loss objectives, and lifestyle. Consulting with a qualified bariatric surgeon like Dr Kevin Dolan is the first step in evaluating your candidacy. During your consultation, you will discuss your medical history, undergo a comprehensive evaluation, and receive personalised advice on whether SADI-S or another weight loss surgery is the best fit for you. Remember, the decision to undergo bariatric surgery is a significant one, and choosing the right procedure can make all the difference in attaining long-term success.