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The Single Anastomosis Duodenal-Ileal Bypass with Sleeve Gastrectomy, referred to as the SAID-S, is the most recent procedure to be endorsed by the American Society for Metabolic and Bariatric Surgery. 

The Procedure

  1. The operation starts the same way as the sleeve gastrectomy, making a smaller tube-shaped stomach. 
  2. The first part of the small intestine is divided just after the stomach. 
  3. A loop of the intestine is measured several feet from its end and is then connected to the stomach. This is the only intestinal connection performed in this procedure. 

How it Works

When the patient eats, food goes through the pouch and directly into the latter portion of the small intestine. The food then mixes with digestive juices from the first part of the small intestine. This allows enough absorbtion of vitamins and minerals to maintain healthy levels of nutrition. This surgery offers good weight loss along with less hunger, more fullness, blood sugar control and diabetes improvement. 


Watch the video below to learn more about SADI-S.