Effect of Single Anastomosis Duodeno-ileal Bypass (SADI) on Type 2 Diabetes Mellitus

Abstract

Type 2 D.M. together is becoming a worldwide challenge, as well as obesity. Conventional therapy and life-style changing measures are not enough for many patients to face the long-term consequences of such morbidities, hence the development of various metabolic surgeries evolved as an alternative in patients who do not benefit enough from the non-surgical measures. Surgeries fell into three main categories: Restrictive (e.g. Sleeve Gastrectomy), Largely restrictive mildly malabsorptive (e.g. Reux en Y gastric bypass) and Largely malabsorptive mildly restrictrive (e.g. Single anastomosis duodeno-ileal bypass with sleeve gastrectomy). Concerning SADI-S; since it combines both restrictive and malabsorptive patients it proved to be providing the patients with long-term solution for both their obesity and metabolic diseases. Although it can not be described as a simple procedure or a first choice in every patient, it still provides lots of patients a satisfactory revisional procedure for failing primary ones, as well as a rational first choice tailored for patients whose life-style and morbidity history make them good candidates for such a procedure, as long as trained surgical hands are available, done either in one step or two.