Did you know that you can get rid of Diabetes Type 2 by Diabetes surgery?
The number of bariatric surgeons who have the knowledge and skill to perform the surgery is still limited nowadays. Medical Trawells’ all general surgeons can perform this operation safely and success
What are the preoperative preparations? How long is the operation?
You will have a full check up before the operation, the results will be evaluated and your surgeon will decide to have the operation or not together with you. Full Urine Test, Blood Test, Chest Xray, Respiratory Function Test, Cardiology Consultation, Pulmonary Diseases Consultation, Internal Diseases Consultation, General Surgery consultation, anesthesia consultation, Ultrasonography. The operation is mostly laparoscopic (closed) and takes around 1,5 – 2 hours.
How SADI-S works ?
SADI-S is a modified version of an operation that was developed 30 years ago, formally called Biliopancreatic Diversion with Duodenal Switch (BPD-DS) and more simply known as the duodenal switch. The SADI-S procedure involves two steps: • Step one; the surgeon will perform a sleeve gastrectomy, removing about 80% of the stomach. • Secondly, the first part of the intestine (duodenum) is divided just below the stomach and reattached (anastomosed) to a loop of intestine about 2 metres further downstream.
What are the potential advantages of the SADI-S procedure?
- Delivers greater weight loss than a sleeve gastrectomy or standard gastric bypass, which is advantageous for people with a BMI above 50. • Provides a more powerful metabolic effect than a sleeve gastrectomy or standard gastric bypass, which is advantageous for people with poorly controlled Type 2 Diabetes. • Can be performed on people who have already had a sleeve gastrectomy, which is advantageous for people who experience weight regain or insufficient weight loss. • Lowers the risk of diarrhea and nutritional deficiencies often encountered with a conventional duodenal switch. • Connecting a loop of small bowel rather than a Roux limb is anticipated to reduce the long-term risk of intestinal obstruction, compared to a standard gastric bypass and compared to a duodenal switch. • The pylorus is retained above the connected loop of small bowel and continues to regulate the rate at which food and acid empty from the stomach into the intestines and to prevent free reflux of bile into the stomach. This helps to reduce the likelihood of certain problems encountered with gastric bypass surgery such as: Dumping Syndrome, unstable blood sugar fluctuations (reactive hypoglycaemia, nocturnal hypoglycaemia), food restrictions and intolerance, marginal ulcers.ully with satisfactory results.
