what is sadı-s?
SADI-S are the initials of the single anastomosis duodeno-ileal bypass with sleevegastrectomy in English.
In other words, the duodeno-ileum bypass surgery is performed here with the gastric sleeve surgery.
What is meant by the SADI-S operation?
The SADI-S operation includes, in addition to gastric sleeve surgery, the closing of the duodenum directly at the exit of the stenosis and the connection of the small intestine section with the duodenum at the gastric exit.
The sleeve stomach reduction is a mainly restrictive procedure, but it also has a hormonal effect. The gastric sleeve operation is performed laparoscopically, i.e. using the so-called keyhole technique, and is consequently minimally invasive. During the approximately 45 to 90-minute operation, trocars are passed over the abdominal wall into the abdomen.
The stomach is detached from the environment and cut lengthways with the help of a stapler, the forklift, and welded shut at the same time. In addition to the already secure staple seam, staple reinforcements are used, which ensure additional firm anchoring. The separated area of the stomach includes the corpus (the largest part of the stomach) and the gastric fundus, in which the appetite-stimulating hormone ghrelin is formed. With its removal, the feeling of hunger is consequently significantly reduced.
- Consequential diseases due to obesity such as diabetes, hyperlipidemia, sleep apnea and high blood pressure are eliminated
- There is no risk of dumping syndrome as the pilor is protected.
- Because the pilor is protected, this method is more tolerated than the other methods
- Patients may have to take vitamin supplements (A, D, E, K and minerals) throughout their lives.
- Frequent control and follow-up examinations are necessary.
- The gallbladder may swell and the risk of gallstones is higher than with other methods.
- As with the other methods, possible risks are: intestinal perforation, anastomosis insufficiency, infection, abscess, venous thrombosis, pulmonary embolism
HOW WILL THE OPERATION BE PERFORMED?
The operation is performed laparoscopically. First of all, the classic gastric sleeve operation takes place. The stomach volume is reduced, but it is still enlarged compared to a conventional gastric sleeve operation. In the next step, the duodenum is cut with special tools and closed to protect the pylorus (stomach outlet). Viewed from the junction of the small and large intestines, it is marked 250 (variable) and pulled towards the duodenum to create a duodenal-small intestine anastomosis. Because of this, the food is taken from the common channel of about 2.5 meters. This reduces both the food intake (sleeve stomach) and the absorption of the food ingested (duodenal-intestinal anastomosis).