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Best SADI-S (SIPS) Surgery in Tijuana, Mexico

Tijuana Bariatric Center » Bariatric Surgery » SADI-S (SIPS) Surgery

The New SADI-S Surgery

 

Patients with an excessively high body mass index (BMI) have another surgical alternative at Tijuana Bariatric Center. Dr. Fernando Garcia and his bariatric staff now offer SADI-S (single anastomosis duodeno-ileal sleeve), a safe new bariatric procedure with a restrictive and a malabsorptive component. SADI-S is less invasive than a Roux-en-Y bypass, yet it provides excellent weight loss results.

What is SADI-S?

sADI-S Surgery at TBCThe modified duodenal switch (DS) with single anastomosis (SADI/SIPS) procedure involves creating a gastric sleeve that removes approximately 80% of the stomach. The malabsorptive portion reroutes a portion of the small intestine, creating two separate pathways and one common channel. The digestive loop, the shorter of the two pathways, allows food to flow from the stomach to the common channel. The longer pathway, the biliopancreatic loop, carries bile from the liver to the common channel. This diversion limits the amount of time that food mixes with digestive juices and reduces the amount of calories that a patient’s body absorbs, resulting in increased weight loss.

Also known as SIPS surgery, SADI-S was first performed as a newer variant of duodenal switch surgery. Its key benefit is that only one intestinal anastomosis is made, rather than two, resulting in a shorter surgery time and a reduced risk of intestinal leakage. For the most highly obese patients, SADI-S may be performed as two separate procedures, with the restrictive gastric sleeve created first, allowing patients to lose weight and ultimately making it safer for them to continue with the second portion that involves rerouting of the small intestine.

Differences Between DS and SADI-S

SADI-S is performed by laparoscopy, meaning patients only require several small incisions in their abdomen for the procedure.  The vertical sleeve created is slightly larger than those for traditional sleeve gastrectomy surgeries. Traditional DS bypasses a much larger portion of the small intestine, leading to persistent malabsorption of vitamins, minerals and even protein in some individuals. For a small percentage of patients, these deficiencies are never full corrected using oral replacement supplements, leading to long-term difficulties. SADI-S preserves approximately 10 feet of the small’s intestines absorptive length instead of the two to five feet from DS surgery.

Because the small intestine is not divided into two segments in SADI-S, the risk of leaking or blockage is reduced. The possibility of intestinal entrapment in the space between the intestinal segments is also reduced.

Differences Between Roux-en-Y Gastric Bypass and SADI-S

Unlike Roux-en-Y gastric bypass, SADI-S preserves the pylorus, which is the outlet of the stomach that allows food to pass into the small intestine. It also prevents partially digested food and digestive juices from reentering the stomach.

Preservation of the pylorus provides control of solid emptying and reduces the changes of dumping syndrome.

Am I a Good Candidate for SADI-S Surgery?

Good candidates for SADI-S are highly motivated and insightful as well as committed to consistent vitamin and protein supplementation throughout their lives. You must be proactive and willing to foster a close relationship with your doctor and a bariatric nutritionist.

Additionally, you must meet other criteria for SADI-S surgery. These include:

  • A BMI of more than 50, putting you at high risk for other obesity-related conditions like type 2 diabetes or heart disease
  • A BMI or 30-49 AND type 2 diabetes, heart disease or metabolic syndrome (high blood pressure, diabetes, high cholesterol, sleep apnea and increased fat around the waistline.

Patients who require long-term steroids, NSAIDs or drink too much alcohol or use illicit drugs are not good candidates because these substances can cause irritation leading to ulcers. Those who suffer from irritable bowel syndrome and diarrhea may not be happy with the increased frequency of bowel movements following SADI-S. This procedure is also contraindicated for those with severe acid reflux and the surgery can worsen the condition in some patients.

SADI-S Advantages

One of the biggest pluses of this bariatric procedure is that once healed, patients can eat “near normal” meals, albeit in smaller portions, than those who undergo a purely restrictive of a Roux-en-Y gastric bypass, resulting in greater patient satisfaction. Other advantages are:

  • Faster recovery with many patients returning to work a week after surgery
  • Less invasive procedure with fewer complications such as hernias, obstructions and scar tissue formation
  • Rapid weigh loss with patients losing up to 40 lbs. the first months and continuing to lose up to 90% of excess eight within six to eight months
  • Regulates sugar levels
  • Less hunger through removal of the portion of the stomach that produces ghrelin, the hunger hormone

SADI-S Disadvantages and Complications

Long-term data on post-surgical outcomes is still unknown. Patients might also require lifelong monitoring for malnutrition, anemia and bone disease. Surgical risks generally more specific to this operation include increase in acid reflux.

SADI-S it the perfect surgery for a revision procedure for a failed banding procedure and sleeve procedure.

If you are ready to live a healthier and fulfilling lifestyle, we can help, request a Virtual Consultation Now! For additional information on how the SADI-S procedure can benefit you, contact the Tijuana Bariatric Center today.

Author: Dr. Fernando Garcia Govea

Bariatric Surgeon

Dr. Garcia is a highly qualified surgeon, and has more than eight years of bariatric treatment experience and two decades in the medical field. His experience (10,000+ procedures) helps him work with all patients including those with a BMI of 80 or higher to improve their quality of life.

Read more here: Fernando Garcia Govea

Dr Garcia

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    Locations

    We have 2 offices. All consultations and surgeries are done at our Tijuana, Mexico office.

    Diego Rivera 2386, Zona Urbana Rio Tijuana, 22010 Tijuana, B.C., Mexico

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    Call Us: 800 970-0577

    Tijuana Bariatric Center is a facilitator company providing scheduling and marketing services. It is not a medical facility or healthcare provider. Tijuana Bariatric Center℠shall not be liable to anyone for any decision made or action taken in reliance on this information. This information does not constitute medical advice, results are not guaranteed, may not be permanent, and can vary per individual and does not establish any physician-patient relationship. The correct venue for claims regarding the actual medical services provided either by the medical facilities or surgeons or medical staff will be Mexico. Any claims against Tijuana Bariatric Center℠ must be asserted within 90 days of the event.

    Visit Our Office

    Locations

    We have 2 offices. All consultations and surgeries are done at our Tijuana, Mexico office.

    Diego Rivera 2386, Zona Urbana Rio Tijuana, 22010 Tijuana, B.C., Mexico

    Map of San Diego

    Call Us: 800 970-0577

    Tijuana Bariatric Center is a facilitator company providing scheduling and marketing services. It is not a medical facility or healthcare provider. Tijuana Bariatric Center℠shall not be liable to anyone for any decision made or action taken in reliance on this information. This information does not constitute medical advice, results are not guaranteed, may not be permanent, and can vary per individual and does not establish any physician-patient relationship. The correct venue for claims regarding the actual medical services provided either by the medical facilities or surgeons or medical staff will be Mexico. Any claims against Tijuana Bariatric Center℠ must be asserted within 90 days of the event.