Single Anastamosis Duodenal Switch
The “single anastomosis DS” or SADS operation is a modification of a well-known and very aggressive malabsorptive operation called the Duodenal Switch. By modifying the formal Duodenal Switch, vitamin deficiencies, diarrhea, and malnutrition are minimized while the excellent weight loss and Type II Diabetes resolution remain high.
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In the SADS procedure, the intestine is divided only one time, just past the stomach, and a “loop” from the end of the small bowel is connected to the duodenum. This creates 300cm of common channel which significantly reduces malnutrition, vitamin deficiencies, and diarrhea. Weight loss and DMII resolution are still very good. The longest term data comes from a study done in Spain and is just 4 years old, so long-term weight loss, DMII resolution, and long-term complications are unknown at this point.
Individuals who should consider the Single Anastomosis DS procedure include the following:
- Those who are concerned about a foreign object inside the abdomen (band).
- Those who have been diagnosed with Type 2 Diabetes, sleep apnea, hypertension, or other obesity related co-morbidities.
- Those who have a BMI >60.
- Those who must always take anti-inflammatory medications.
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