No forum for SADI patients?

[DanM 2]

I got the SADI 2 days ago and I'm having lots of back pain. I know it's similar to the duodenal switch and I was wondering if anybody else had back pain.

[Wellington4321 17]

I had the Sadi done in 2014. It's been a godsend. I lost 152 lbs over a year and stabilized at down 125lbs. The Sadi is a much better option then the traditional Hess DS since there are less issues with malabsortion, far fewer Vitamins needed and it's a simple loop compared to Hess DS. You will find your issues in general to be similar to most other DS patients.

Regarding your back pain, it has nothing to do with the Sadi procedure. You have probably been lying in a bed too long and needed to start walking. Good luck and enjoy the ride.

[DanM 2]

Thanks. Yes, I had a very tight band around my belly and was in post-op for 8 hours while they found a bed. Back pain is subsiding. Do you know how many ounces your stomach was reduced to? I'm thinking 4-5. Hydration is the biggest challenge right now. Can't get enough. Congratulations on your weight loss! That's awesome!

[curlygirl74 0]

Hello! I am sorry I don't have anything to contribute to the question but I do have another question: My husband is hoping to get the SADI- he is just starting the process whereas I am a few months out from hopefully getting the Roux En-Y. Do you mind me asking what the criteria were for you both to be able to get the SADI? They just started doing the surgery at our hospital and it is possible my husband is just below the BMI criteria they have set for the SADI here. If that is too personal a question, please forgive me! This is my first time on the forum. Congratulations on the surgery Dan Mand I hope it all goes well for you!! Jmuldune your story is amazing- congratulations!!!

[DanM 2]

I think the BMI has to be above 50. Mine was 51, I believe. It seems like a great procedure from all I've read.

[Wellington4321 17]

There's no BMI requirement for any specific wls procedure. The type of surgery is a medical decision made between the Dr and patient, not the insurance company. Most insurance won't cover wls unless you have a 40 bmi or other medical issues like pre diabetes etc.

I had a 39 to 40 BMI at 287 lbs. I choose the Sadi DS over the traditional Hess DS, RNY, VSG or Lapband after disucssing my goals with my doctor. My criteria was to lose all the weight, keep it off and be able to eat normally eventually. All of them are true for me today (9 years later) but I also do my part with at least trying to mostly eat well, and getting daily exercise.

It's important to note that wls creates an imbalance in your body and you have to make adjustments including the Vitamins, eating, accepting loose skin, bloating and gas issues with bad food choices, etc.

FYI - It's not an easy journey and takes time. If you make the commitment, it's worth it. Below is my journey and my almost 63 year old body 9 years post Sadi.

Edited September 18, 2023 by Jmuldune

[DanM 2]

@Jmuldune Wow, what a coincidence. I'm 54 right now and just had the SADI. So, of I work hard I can expect results like that at 63!!

Hey one thing you said though, you said you wanted to eventually be able to eat normally. Is that the case? Has your sleeve stretched over time?

[Wellington4321 17]

I can eat virtually anything or any amount of calories. The downside of overeating is pooping it out multiple times in a day, along with gas and sometimes bloating when I eat too much fat or dairy. To be fair, as absolutely fantastic and awesome as I look for an old fart, I have the downside that anyone who loses weight has:

1) You look anorexic and cancer like for at least awhile, maybe forever. I'm in the middle somewhere.

2) Loose skin - anything north of 100lbs is a guarantee of wrinkly loose skin in many places. I have it but it's not as bad as many others experience. PLastic surgery to remove it is always a possibility if it bothers you.

3) I take Vitamins daily, but no where near as much as any Hess DS patient.

[Allen Grateful 4]

Hello all, this is my first post on this forum. I'm scheduled for the SADI on Jan 10, 2024, and have mixed emotions. My weight now is 270 lbs (BMI is 36.5) and I'm 5 ft 11.5 inches tall. I'm somewhat concerned about losing too much weight and looking anorexic as well. My goal weight is around 190 lbs. I still have time to decide between the SADI or the gastric sleeve. Reading some of these posts may help decide which direction to go.

[curlygirl74 0]

Hi Allen! Did the Doctors say why they would suggest one over the other and/or is there a reason you are leaning towards one over the other? I came on here bc my husband is researching the SADI as his BMI is at around 40- Im actually a month out from having the RNY an I’m super happy with it so far - my BMI was right above 35 and I’m down about 20lbs so far in that first month. I don’t think it’s like the SADI in the sense that I would be able to eat whatever I want without consequence of putting on weight. If I can help compare and contrast with the other lovely people on here let me know! Good luck with whichever way you decide to go!!

[Allen Grateful 4]

Hello,

It really came down to SADI seems to be more effective on keeping the weight loss off long term (5+ years) post-surgery. My doctor also said there is less chance of getting GERD/acid reflux with SADI compared to the sleeve.

[Wellington4321 17]

I had the Sadi DS in Nov 2014 with a 40 bmi, just under 300lbs as a 6'1 male, age 54 at the time. I had your concerns so I'll summarize: I had too much weight loss initially and did look like a cancer patient for about a year. I gained back 27 lbs and have stabilized at 162lbs, still thin. I can eat anything now and get gas and bloating. A VSG would have worked initially for me but I would have gained most of the weight back long ago. I still often eat like **** but get nutrition and exercise every day. At 63 I can do things that I couldn't do decades ago, look good for my age, and pay the price for poor eating decisions with gas and bloating until the next am. All in all most people would take this deal in a second.

Below is a relative size and fitness before and after:

[Allen Grateful 4]

Hi Wellington and thanks for the reply. So what did your weight get down to at the lowest point? Also, did you try not to lose so much weight or was the surgery choice (SADI) just that effective in losing the weight no matter what you did along the way? I still have time to decide against having the SADI and just going with the sleeve but still undecided.....

[Sahira27 0]

@wellington4321

Can i ask you what vits your on? Im cluless and my dr is no help.

[Wellington4321 17]

@Allen, I had no choice once the weight loss started. I lost slowly but steadily and had an initial goal of getting down to 185 lbs. I was concerned about the traditional Hess DS being too extreme so I opted for the SADi due to the much longer common channel (mine is about 300 cm). When I hit 135 lbs my Dr and I were concerned but not panicked. Over the next 2 years I gaind back 27 pounds to reach 162 where I have been very steady. I feel like my body knew the right weight and I needed to let it get there over time.

I'm very happy with the Sadi and would not change a thing.