SADI-S SURGERY IN KENYA
Lose up to 80–90% of your excess body weight with SADI-S Weight Loss Surgery Kenya
SADI-S Surgery Kenya is a minimally invasive (laparoscopic) weight loss surgery that reduces the size of the stomach and reroutes part of the small intestine, helping people with obesity eat less, absorb fewer calories, and lose up to 80–90% of their excess body weight.
- BMI: BMI ≥40, or ≥35 with obesity-related conditions.
- Hospital Stay: 2–3 days in hospital.
- Procedure: Keyhole (laparoscopic) surgery with small incisions.
- Recovery: Mild discomfort managed with medication.
- Weight Loss: Lose up to 80–90% of excess body weight.
Benefits
- Significant Weight Loss: Lose up to 80–90% of excess body weight.
- Better Diabetes Control: Improves or may even reverse type 2 diabetes.
- Improved Overall Health: Helps lower blood pressure and cholesterol.
- Better Sleep: Reduces or resolves obstructive sleep apnoea.
- Better Quality of Life: More energy, easier movement, and improved confidence.
Disadvantages
- Lifelong Vitamins: Daily vitamin and mineral supplements are required.
- Dietary Changes: Lifelong healthy eating habits are essential.
- Loose Stools: Some patients experience diarrhoea or frequent bowel movements.
- Regular Follow-Up: Ongoing medical check-ups and blood tests are necessary.
- Risk of Deficiencies: Without proper supplements, vitamin and protein deficiencies can occur.
Side effects
- Nausea: 10–30% (usually temporary during the first few weeks).
- Loose Stools or Diarrhoea: 20–40%, especially after fatty meals.
- Gas and Bloating: 20–40%, often improves with dietary changes.
- Hair Thinning: 20–40%, usually temporary during the first 3–6 months.
- Food Intolerance: 10–20%, particularly to fatty or sugary foods.
Complications
- Bleeding: 1–3% of patients.
- Infection: 1–5% of patients.
- Leak at the Surgical Join: Less than 2% of patients.
- Vitamin or Protein Deficiency: 10–30% without lifelong supplements and follow-up.
- Blood Clots (DVT/PE): Less than 1% of patients.
Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S)
A
Pre Procedure
Laparoscopic Single Anastomosis Duodenal-Ileal Bypass with Sleeve (SADI-S) Eligibility
Laparoscopic Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S) is recommended for individuals who meet certain criteria. These may include:
- Body Mass Index (BMI) of 40 or higher, indicating Morbid obesity (class III)
- BMI of 40 or higher, accompanied by obesity-related health conditions such as diabetes, high blood pressure, sleep apnea, heart disease, cholesterol, etc.
- Previous unsuccessful attempts at weight loss through diet, exercise, and other non-surgical methods
- Past medical and surgical history may also affect eligibility, so it is important to come in for a consult beforehand.
MEDICAL - Obesity-related illnesses such as heart disease, stroke, type 2 diabetes, cholesterol, infertility, sleep apneas, asthma and cancer; are reduced. It also helps in long-term control of type 2 diabetes, and less dependence on medication — or the elimination of medication altogether.
PHYSIOLOGICAL - You may also enjoy the elimination of back and joint pain, decreased depression, improved breathing and increased energy.
PSYCHOLOGICAL - Dramatic improvements in your overall health and quality of life with improved self-image, increased self-confidence and the satisfaction that comes from enjoying a wider range of activities with friends and loved ones. Results may vary dependent on lifestyle changes as well, we recommend an amalgamated approach for best results and sustainability.
WEEKS BEFORE
To determine the suitability & your body’s fitness for the surgery we will take you through medical, psychological, nutritional assessments and pre-counselling.
The pre-surgery weight loss diet is essential because it is low in fat and carbohydrate content, helping reduce your glycogen levels and reduce your liver size so that the operation can be conducted.
There should be no intake of caffeinated drinks (coffee and energy drinks) at least a week before your surgery date. Your dietary intake in the week leading up to the surgery should be light, like vegetables and fruits.
DAYS BEFORE
You'll need to stop smoking, eating heavy unhealthy meals, stop taking aspirin, ibuprofen, and other blood-thinning medicines in the days before your surgery. You shouldn't eat or drink anything after midnight before surgery.
C
Post Procedure
Recovery may vary from person to person, but here’s what you need to know:
Hospital Stay: 2-3 days after the surgery to ensure proper healing, rehabilitation, and monitoring of progress. Patients who have undergone laparoscopic procedures may return to work within 1 week after surgery. However, it is not advisable to engage in intense physical work.
Shortly after surgery, you'll begin reintroducing foods into your diet in phases in consult with your nutritionist who will teach you how and what to eat with your reduced stomach size. You'll start consuming a clear liquid diet within 24 hours of your surgery, then advance to a full liquid diet, a soft food diet, and your regular diet in the weeks ahead. You will also have to reduce certain foods, such as simple sugars, including honey, white sugar, or syrups, to avoid dumping syndrome. You will need to chew slowly and fully, and not to drink 30 minutes before or after you eat. While it may seem demanding, ignoring dietary recommendations may cause constipation, dehydration, diarrhea, or in extreme very rare cases, gastric acid leakage.
You will have follow-up visits with your bariatric surgery team to help you develop good eating and exercise habits that will change your lifestyle. Your initial weight-loss may occur quickly, so it's important to get all of the nutrition and vitamins you need as you recover. To prevent nutritional problems after surgery, your doctor may advise on supplements like Vitamin B12 and iron.
- Fever
- Your wound becomes painful or hot to the touch or leaks fluid
- Coughing or trouble breathing
- Vomiting and diarrhea
- Pain in the abdomen, chest, shoulder, or legs
- Any other problems or symptoms
B
How Is It Done & How Does It Work
Done laparoscopically under anesthesia in about 2-3 hours. The stomach is reduced by removing a portion of it. Then the middle part of the small bowel is excluded from food transit by connecting the last part of the small bowel (ileum) to the 1st part of the small bowel (duodenum). In summary, the food travels from the small new stomach to the distal intestine bypassing a long segment of the small bowel, which remains in the abdominal cavity, but is excluded from the food circulation. This reduces the food intake as well as absorption causing significant weight loss. Usually for BMIs over 40, with up to 70% excess weight reduction. Involves 3 components:
- Sleeve gastrectomy (restrictive component)
- Shortening the intestines food path (malabsorption component)
Laparoscopic surgery done using tiny incisions in the abdomen, under anesthesia and usually lasts about 3 hours with about 2 days as hospital stay. Weight loss occurs gradually being fastest in the first months. 1.5-2 years may be required for maximum weight loss.
Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S) VS GASTRIC BYPASS
The Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S) is best performed on patients with a BMI greater than 40.
Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S) is one of the most powerful options for patients with severe obesity, either as primary surgery or as a revisional procedure after failure of a sleeve gastrectomy. The anatomical changes decrease oral intake and reduce the absorption of the nutrients and calories eaten.
In this light, it is important to keep in mind risks like gall stones, bowel habit changes, excessive loose skin, and malnutrition, that are more likely in the Gastric Bypass (RYGB) than in Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S). Lifestyle changes after Single Anastomosis Duodenal-Ileal bypass with Sleeve (SADI-S) such as eating habits should be adapted well to prevent side effects.
It has less likelihood of weight regain relapse & achieves more weight loss compared to other bariatric procedures.
FAQs
Adults with a BMI ≥40, or BMI ≥35 with obesity-related conditions such as type 2 diabetes or high blood pressure.
Most patients lose 80–90% of their excess body weight within 12–24 months.
Most patients experience mild to moderate discomfort, which is well managed with pain medication.
Most patients stay in the hospital for 2–3 days after surgery.
Yes. Lifelong vitamin and mineral supplements are essential to prevent nutritional deficiencies.
Yes. Many patients experience significant improvement or remission of type 2 diabetes after surgery.
Yes, if you maintain a healthy lifestyle, attend follow-up appointments, and take your prescribed supplements.