Anyone had the SADi-S (Single anastomosis duodeno-ileal bypass with sleeve gastrectomy)
I had it after having the sleeve for 3 years. I lost an additional 12 # after the SADI while being well on the plan of high protein!high fat and low carbs.
It helped me maintain for a year or so but then it seemed I stopped malabsorbing food though I am still malabsorbing vitamins.
I have really not been pleased with it.
I would encourage you to have the full out DS which is what I will revise to,if I have to have another surgery.
Ok - after researching by writing some doctors I got a name for why some of the SADI pioneers are preferring it to traditional DS and giving it a 300 cc common channel.
Short Bowel Syndrome.
They've lengthened the channel by 50cc over the standard SADI 250 up to 300cc (or half the original intestine if less than 6 meters) to mitigate the potential for SBS as it was still showing up in some SADI 250 peeps. With the increase it is now not a factor.
Eventually the SADI 250 people came back up in deficiencies but they are trying to mitigate it all together as it is a tough thing to tackle. A lot of traditional DS no matter how vigilant on vitamins will suffer from it and it's a constant battle.
Do some research on SBS. It's a scary thing. To me just as scary as being fat. It also increases your future cancer risk like crazy.
Additionally, the concensus is that every WLS has 18 months to loose and after that it becomes harder. The benefit of loosing half the intestine acts the same as a smaller channel in the short term of that time period. Some say better because you are getting more vitamins. This is the kicker - no statistical difference at all in the short term - it acts the same. Everyone's 18 month post op diet should be pretty strict and focusing on a new lifestyle so during this 18 month period the fight over which is better is just noise.
So what about mid term?
As time goes on SADI patients appear to have better luck with maintenance by continuing a low sugar diet. Fat doesn't matter as long as sugar/carbs remain low. Traditional DS have the advantage of a less healthy diet being able to maintain weight loss.
Long term. Theoretically, It all comes comes down to short bowel syndrome.
That's why these docs are doing it who have never been willing to do traditional DS. Yes it's an easier surgery but surgeons like challenges so that's not the factor. The issue is they think they finally have an answer that makes them think it's a good option for the patient. Most of these doctors have never advocated the traditional DS because of the SBS issue. They didn't see a reason for it over the RNY given the extra risks of the DS post-operatively which statically have higher hospital stays as a result.
Hope that helps some of you. And hope it makes the bashers a little sheepish for calling people stupid of guinea pigs. BTW all the docs I talked to felt that in 5 years the traditional DS will only be performed on insulin diabetics over 50 bmi. Everything else will be SADI if the data holds up. Pretty impressive I think.
Hi Miranda
I had the SADI-DS surgery on 1/27. (two month today) I have lost a total of 60 lbs (30 pre-op/30 post-op). Dropped from a size 24/3x to a 16/xl. I had no complications. Very little pain. Just started solid foods and so far am able to tolerate most items. (although I am very cautious-so I haven't experimented too much). I'm actually amazed how easy it has been.
Just had my first check up with me endo since surgery. A1c is down to a 6 w/o ANY medications. I was on an insulin pump for the last five years using U500 (5x concentrated) insulin. Haven't taken insulin since the day before surgery.
I consider the surgery a huge success! Just working on dropping the remaining 50 or so lbs and then living my life as a healthy person.
Michelle
