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Single anastomosis duodeno-ileal switch with sleeve gastrectomy



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Hello everyone! New to this site. I have done a lot of research and I am pretty positive I want to have the SADI-S surgical procedure done for weight loss. Has anyone else had this done? If so, can you please tell me about your experience with it? I want the good and bad parts of your experience to know as much as possible. I went to one of the major hospital bariatric surgeon groups in my area that said they accept self pay since my insurance doesn’t cover anything dealing with weight loss and after 5+ hours of classes and meetings with the team the surgeon came in and said no to any surgery because my insurance will not cover it and she doesn’t want to do it in case of a complication and me being 100% financially responsible for the cost. So I have another appointment with a different major hospital bariatric surgeon in 2 weeks and I explained what happened and they said they will deal with the insurance company and will accept self pay, they said this is a common thing they deal with.

Thanks for any information and help you give!

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Hi there. From everything I read your first was sleeve w\ Sadi is going to be wonderful. I’m a revision surgery, so unfortunately I can’t tell you much. My experience is slow, BMS are bad with a lot of simple carbs, but I’m thankful for the opportunity

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I had the SADI-S on July 23, 2020, so I'm getting close to 2 years out. It was definitely the best thing I ever did. I was self pay because our insurance at the time didn't cover any wls. I have lost 200 pounds. I started at 393 (I'm 5'3") and I'm currently 193. I'm hoping to lose more. I'm losing very slowly now, but it's still coming off.
The surgery was not bad, except for the first few days I had a lot of nausea.
Lo and behold, our insurance now covers wls, including this one, so my husband is having it done on May 13th.
They are giving him nausea meds pre-op, so I'm guessing quite a few people have had nausea with it like it did. There weren't very many people having it done when I did so they didn't know as much.
I am so happy I chose the SADI-S. I feel amazing, and I have tolerated most foods. I do notice alcohol just doesn't seem to sit right in my stomach, but I've only had it a few times since surgery and I'm not a big drinker so it doesn't matter too much to me anyway.
My life has changed completely in so many ways!
It is late and I'm tired so I can't think of what else to write at the moment but I'll be glad to answer any questions you have!

Sent from my Pixel 5a using BariatricPal mobile app

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Thank you for the information!

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It is great to hear that nearly two years out you are happy with the results and that you are healthy. SADI is the surgery I hope to have done soon. Thanks for posting about your success.

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It is great to hear that nearly two years out you are happy with the results and that you are healthy. SADI is the surgery I hope to have done soon. Thanks for posting about your success.

I'm glad I could help and if you have any questions I'd love to answer them!

Sent from my Pixel 5a using BariatricPal mobile app

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23 hours ago, HelenR said:

It is great to hear that nearly two years out you are happy with the results and that you are healthy. SADI is the surgery I hope to have done soon. Thanks for posting about your success.

On 4/23/2022 at 6:27 AM, Changenprogress said:

Hello everyone! New to this site. I have done a lot of research and I am pretty positive I want to have the SADI-S surgical procedure done for weight loss. Has anyone else had this done? If so, can you please tell me about your experience with it? I want the good and bad parts of your experience to know as much as possible. I went to one of the major hospital bariatric surgeon groups in my area that said they accept self pay since my insurance doesn’t cover anything dealing with weight loss and after 5+ hours of classes and meetings with the team the surgeon came in and said no to any surgery because my insurance will not cover it and she doesn’t want to do it in case of a complication and me being 100% financially responsible for the cost. So I have another appointment with a different major hospital bariatric surgeon in 2 weeks and I explained what happened and they said they will deal with the insurance company and will accept self pay, they said this is a common thing they deal with.

Thanks for any information and help you give!

I'm scheduled for Sadi surgery on May 31st. So I will be glad to let you anyone know how my personal journey goes also! :) I wasn't able to find a lot of info on it either. Due to Type 2 and other medical problems Sadi was the best option for me

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I had the loop DS / SADI-S in November 2021 (~6 months ago). I have a 300cm common channel (the part of my intestine that can still digest food and absorb nutrients). Since my surgery date I have lost 82 lbs and am still losing about 6lbs a month.

I had some complications post surgery that I've had to deal with. Turns out my gallbladder was bad going into the surgery but no one realized it (since I had sludge and not stones). So they didn't take my gallblader out during the surgery and had to go back in to remove it 3 months later. I really wish they had proactively removed it because I was sick for months waiting for the gallbladder surgery and recovering from a second surgery so soon sucked.

I still have a hiatal hernia because for reasons, it didn't get repaired. Again, I'd totally recommend making sure that they fix EVERYTHING while they have you open...

I also have bad liver function test results that I'm waiting to hear back on, so I can't really comment much on why it's off. I feel fine though.

I take Vitamins 6 times a day for the rest of my life: 3 calciums and 2 Multi Vitamins. So far my Vitamin levels look good.

I eat about 500 calories a day still at 6 months out because I'm not hungry still. I realize some programs want more calories, but my surgeon has stressed that I shouldn't eat unless actually hungry. I don't have problems with any foods really, and my digestion is just fine (though I guess more gassy than before).

I had a lot of health problems before surgery, none of which were resolved by the weight loss (total: 133 lbs). My a1c is better, though I still spike super high (200-300) if I have carbs (or surgery!) and even a small amount elevates my blood sugar all day. In my opinion, my a1c looks good because I'm eating so few calories, and zero carbs. In reality I will have diabetes for life and will need to watch that. I am still on blood pressure medication, still have Migraines, still have intercranial hypertension, still take statins for my cholesterol, still take heartburn medication, etc. I am off of my diabetes medication for the time being.

I did the weight loss surgery to resolve my health problems. So far I am very happy with the results, mostly because it's nice to be able to move around without getting hot and tired, and have people see me as a person and not immediately judge me for my weight. But it hasn't really made me healthier yet. Maybe it will eventually but either way it feels worth it.

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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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