The duodeno-ileal SADI-Bypass in a sole anastomosis is a surgical option for patients with insufficient lost of weight after a Sleeve gastrectomy or as a sequential procedure in super obeses.
It can be considered as a simplified intervention of Duodenal crossing providing the benefits of a bilio-pancreatic shift, the pyloric preservation and a simpler operation.
The published good short and medium term results, as for loosing weight and the resolution of comorbilities indicate that SADI can be an effective option as second surgical stage after a Sleeve gastrectomy.