Single Anastomosis Duodeno-Ileostomy (SADI) is a bariatric procedure that combines sleeve gastrectomy with a single connection between the duodenum and ileum. It reduces stomach capacity and limits nutrient absorption, supporting substantial and long-term weight loss and improved metabolic health.
SADI combines sleeve gastrectomy with a single-loop intestinal bypass for major weight loss through strong malabsorption. The procedure connects the duodenum directly to the ileum, dramatically reducing calorie and nutrient absorption while maintaining a simplified single-anastomosis design.
SADI is reserved for super obese and in weight regain where a sleeve is combined with a anastomosis between the duodenum and ileum largely limiting nutrient absorption and hormonal regulation leading to strong weight loss and improved metabolic health.
SADI is reserved for patients with extreme obesity or those who need a revisional procedure after insufficient weight loss from a prior bariatric surgery. It requires strict lifelong compliance.
SADI creates a powerful malabsorptive bypass by connecting the duodenum directly to the lower small intestine, combined with a sleeve gastrectomy for additional restriction.
Stomach is reduced to a sleeve, providing restriction and reducing hunger hormone production.
Single-loop connection from duodenum to ileum, bypassing most of the small intestine for strong malabsorption.
Dramatically reduces calorie and nutrient absorption — highest weight loss potential among standard procedures.
Can be performed as a second-stage procedure in super-obese patients or as revision of a prior inadequate surgery.
SADI delivers the most aggressive weight loss among bariatric procedures. Strict nutritional compliance is essential for safe, sustained results.
India’s leading bariatric & metabolic surgery centre at Apollo Hospitals, Chennai. Expert surgical care, proven outcomes, and lifelong support
Institute of Bariatrics, Apollo Hospitals, 21 Greams Lane, Chennai 600006