Workshop on SADI-S procedures

Dr. Ravi Rao in Perth performs SIPS Surgery which is also known as SADI -S procedure (Single anastomosis Duodeno- ileal Bypass with Sleeve gastrectomy) is an effective weight loss procedure. The workshop was about the overall experience and importance of this SADI-S procedure. Certainly, the weight loss results are encouraging. Analyses of results suggest that on average, patients will lose over 12-19 BMI units, 1 year from surgery. SIPS (SADI -S) combines a vertical sleeve that is slightly larger than standard VSG, with an intestinal shortening procedure. By shortening the intestinal length, combined with the resection of the fundus and greater curvature, food consumed reaches the distal intestine more rapidly. This stimulates the cells in this region to release incretins that alter hunger and satiety. The preservation of 3 m of the intestine along with the ileocecal valve may reduce the risk of malnutrition and diarrhoea.

Unlike the roux en y gastric bypass the pylorus is preserved in this operation. The pylorus provides control of solid emptying, reducing the chances of dumping syndrome and assisting in maintaining a physiologically based rate of gastric emptying. Thus, with SIPS-Surgery (SADI -S), our hope is that we can provide an efficacious procedure that offers improved quality of life, adequate intake and rely on the passage of ingested food into the faecal stream.