Sleeve + SADI (SADI-S)
A powerful, modern approach to metabolic and weight loss surgery
What is Sleeve + SADI?
Sleeve + SADI is a two-part bariatric procedure that combines:
-
Sleeve gastrectomy
The stomach is reduced in size to limit intake and regulate hunger hormones. -
SADI (Single Anastomosis Duodeno-Ileal bypass)
Part of the small intestine is bypassed to reduce calorie absorption and enhance metabolic effects.
Together, this creates a highly effective treatment for obesity and metabolic disease, particularly in patients who require more than restriction alone.
How does it work?
Sleeve + SADI works through three key mechanisms:
-
Restriction
A smaller stomach means you feel full sooner and eat less. -
Hormonal regulation
Changes in gut hormones help reduce hunger and improve satiety. -
Malabsorption
Bypassing part of the intestine reduces calorie and nutrient absorption, supporting sustained weight loss.
Who is it suitable for?
Sleeve + SADI may be recommended for patients who:
- Have a higher BMI or significant weight to lose
- Are living with type 2 diabetes or insulin resistance
- Have obesity-related conditions such as:
- Sleep apnoea
- Fatty liver disease
- Hypertension
- Have had previous bariatric surgery with limited long-term success
Every patient is different. A thorough clinical assessment is essential to determine suitability.
Benefits of Sleeve + SADI
- Greater long-term weight loss compared to sleeve alone
- Strong metabolic improvement, particularly for type 2 diabetes
- Reduced hunger and improved appetite control
- Single intestinal connection, which simplifies the procedure compared to traditional bypass
- Designed for durability and sustainability
Important considerations
As with any advanced bariatric procedure, Sleeve + SADI requires:
- Lifelong vitamin and mineral supplementation
- Regular blood tests and follow-up care
- A strong commitment to dietary structure and protein intake
- Ongoing support from a multidisciplinary team
This is not a quick fix. It is a long-term metabolic intervention that works best with structured support and engagement.
Why choose Sleeve + SADI?
For the right patient, Sleeve + SADI offers a more powerful and durable option than sleeve gastrectomy alone. It is particularly valuable in managing complex obesity and metabolic disease, where hormonal and absorption changes play a critical role.
Next steps
If you are considering Sleeve + SADI, the first step is a comprehensive consultation. This allows us to:
- Assess your medical history and goals
- Determine the most appropriate procedure
- Map out a personalised treatment pathway