Combines a sleeve gastrectomy with a single intestinal bypass connection. It is a simplified form of the duodenal switch, and requires lifelong nutritional follow-up.
*Typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary. **Illustration only, based on the low end of the range with no interest. Financing is provided by a third-party lender, subject to approval.
SADI begins with a sleeve gastrectomy, then connects the first part of the small intestine directly to a lower part with a single connection. It is a simpler version of the duodenal switch and is associated with the highest weight loss of the procedures we offer.
You are under general anesthesia. The surgeon works through several small incisions of 0.5 to 1.5 cm.
About 80% of the stomach is removed, leaving a narrow sleeve that limits how much you can eat and lowers hunger hormones.
The duodenum (the first part of the small intestine) is joined to the ileum (a lower part) with a single connection, so fewer calories are absorbed.
Because absorption changes, SADI needs lifelong vitamin and nutrient supplementation and regular bloodwork.
SADI and gastric bypass are often discussed. We may recommend medically supervised weight loss before surgery to improve safety.
My BMI is over 40 and I have diabetes or other conditions.
Candidacy depends on more than BMI. Your surgeon reviews your full health history before recommending any procedure. See every BMI range
Typical recovery: several weeks. Everyone follows a staged diet, from liquids to regular meals, with a dietitian guiding each step.
Your surgeon will walk you through the recovery plan for your procedure. How to prepare, and what recovery looks like
Every price includes your procedure, two years of follow-up and aftercare, and 3+ more years of medical, nutrition, and behavioural support. You'll get an exact quote at your consultation.
Years 3 to 5+ are support, not scheduled follow-up. All of it is included in your procedure price.
Showing 6 procedures
| Feature | ESGEndoscopic Sleeve Gastroplasty | TOReTransoral Outlet Reduction | BalloonIntragastric Balloon | LSGLaparoscopic Sleeve Gastrectomy | RYGBRoux-en-Y Gastric Bypass | This procedureSADISingle Anastomosis Duodeno-Ileal Bypass |
|---|---|---|---|---|---|---|
| How it's done | Through the mouth, sutures fold the stomach | Through the mouth, sutures tighten the bypass outlet | Through the mouth, a balloon occupies stomach space | Keyhole surgery, part of the stomach removed | Keyhole surgery, small pouch connected to the intestine | Keyhole surgery, sleeve plus one intestinal connection |
| Incisions | None | None | None | Small, 0.5 to 1.5 cm | Small, 0.5 to 1.5 cm | Small, 0.5 to 1.5 cm |
| Recovery | Back to desk work in 1 to 3 days | About 1 to 2 days | Usually same day | About 2 to 4 weeks | Several weeks | Several weeks |
| Permanence | Long-term, can be revised | Long-term | Temporary, removed at about 6 months | Permanent | Permanent | Permanent |
| Often suits | BMI 30 to 40, prefers to avoid surgery | Weight regain after gastric bypass | BMI 27 to 35, wants a temporary first step | BMI 35 and above | BMI 35 and above, often with type 2 diabetes | BMI 40 and above |
| Typical weight loss | 15 to 20% | 7 to 10% | 5 to 7% | 25 to 30% | 30 to 40% | 35 to 45% |
| Price | $15,000 to $16,000 | $12,000 to $13,000 | $8,000 to $9,000 | $15,500 to $19,000 | $16,000 to $19,000 | $19,000 to $22,000 |
Weight-loss ranges are typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary. Prices are ranges; you'll get an exact quote at consultation.
SADI (single anastomosis duodeno-ileal bypass) is a simpler version of the duodenal switch that uses one intestinal connection. Published literature reports the highest total body weight loss of the bariatric procedures we offer, at 35 to 45%.
Sleeve gastrectomy, gastric bypass, and SADI are the options most often discussed at BMI 40 and above. We may recommend medically supervised weight loss before surgery to improve safety.
Yes. SADI changes how nutrients are absorbed, so lifelong vitamin and nutrient supplementation and regular bloodwork are part of the plan. Your WeightSimple dietitian and physician monitor this with you.
Most SADI patients stay 2 to 3 days after surgery. Your surgeon will confirm your plan before your procedure date.
A free consultation, by video or in person, with no obligation.
