Diabetes Surgery

Diabetes Surgery (SADI-S)

The SADI-S is a biliopancreatic diversion modification. Laparoscopic surgery is also used for this procedure. The passage of food through the duodenum is completely stopped in this procedure, which is similar to the Roux-Y gastric bypass. It is, however, a single anastomosis bypass. To accomplish this, the duodenum is removed blindly and a 200 cm long loop of small intestine is formed, which is anastomosed directly postpylorically with a gastric sleeve. In the event of insufficient weight loss or resumption of weight gain following gastric sleeve surgery, this procedure is especially well suited as a second step. Following the procedure, regular vitamin checks and vitamin substitution are required.

Frequently Asked Questions

What type of anesthetic is utilized during the procedures?

All bariatric surgeries are carried out while the patient is under general anesthesia.

What kind of scars does the operation leave?

The procedures employed are minimally invasive, i.e. they are performed through keyhole technology. The scars from minor wounds in the abdominal wall are usually extremely small.

Is it necessary for me to remain in the hospital as an inpatient?

A three-day hospital stay is frequently required for gastric sleeve, for gastric by-pass it’s generally for days.

After the operation, what can I eat?

You can start eating liquids after the operation. The diet is gradually changed over the next four weeks. After 14 days, you can start eating soft foods, and after 1 month, you can return to your regular complete diet.

Is it necessary for me to go on a diet?

Following obesity surgery, it is critical to entirely change your eating habits. It is not necessary to adhere to a certain diet, but the amount and type of food consumed should be altered. Our network of nutritionists will be able to assist you with this.

Will I be in pain after the surgery?

Pain that feels like sore muscles in the location of the scars can develop in the first few days after the operation. You will be offered painkillers if this is the case.

Is this a one-time reduction? Is the stomach still the same size?

Gastric by-pass surgery rarely results in pouch enlargement. A gastric sleeve, on the other hand, can cause dilatation, expansion, or stretching of the remainder of the stomach. This growth can be prompted by continuous dietary errors, such as when a patient does not follow the nutritionist's postoperative instructions and eats impulsively. The gastric sleeve might grow 1 to 2 years following surgery in exceptional circumstances.

Is it possible to undo the procedure?

The procedures of bariatric surgery are permanent and irreversible.

Are there any dangers or consequences during the procedure?

Bariatric surgeries, like any other surgical operation, might have complications. This can result in bleeding or harm to the stomach's surrounding organs. Thrombosis, pulmonary embolism, wound infections, and wound healing problems are all possibilities. Suture leaks following surgery are quite uncommon. They're treated with another procedure or a gastroscopy, and they always require a longer stay in the hospital. However, due to several preventative precautions, severe problems are uncommon.

How long do I have to be on sick leave following surgery?

Physical weariness and tiredness are common following surgery, but this subsides after around four weeks. This is something you and your employer should be prepared for. After obesity surgery, you will usually be on sick leave for two to four weeks.

Is it okay if I go hungry after surgery?

No, this isn't going to work. Our bodies can usually survive on very little nourishment. Following the treatment, all that is required of you is to eat high-quality food and provide your body with the appropriate proteins, vitamins, and minerals.

Will I have frequent nausea or other side effects following the surgery?

Nausea is common in the first several weeks after bariatric surgery. Incorrect eating habits, such as eating too rapidly, eating too much, eating and drinking at the same time, or not chewing sufficiently, are frequently the culprits. If none of these suggestions work and you continue to vomit, you should see a doctor immediately.

Will my hair quality change as a result of the surgery?

Increased hair loss might occur in the first few months after surgery due to fast weight loss and vitamin and protein deficit. This situation returns to normal once weight loss slows and vitamin stocks and trace elements have returned to normal thanks to proper nutrition and multivitamin supplements.

Is it okay for me to drink alcohol following the operation?

Alcohol absorption and usage change after bariatric surgery. The bariatrically operated patient has much greater blood alcohol concentrations after drinking the same amount of alcohol, which thereafter decline much more slowly. As a result, the "one glass rule" is no longer valid.

Is it possible for me to donate blood after the operation?

They have a higher need for vitamins and trace elements after bariatric surgery. Despite replacement, women's iron levels are frequently low. As a result, you should refrain from donating blood.

Is it necessary for me to have plastic surgery following the procedure?

Such an operation may be required following bariatric surgery if you are really overweight. More details can always be clarified during follow-up meetings with your treating providers.

How will I be looked after following the surgery?

Following the treatment, you need to have blood tests on 1st, 3rd, 6th and 12th months. You will be called by our after carers regularly. And you can contact your representatives 24/7 for your inquiries.

How long must I wait for an appointment for an operation?

There is no waiting list for none of the surgical procedures we offer.

Is it possible for me to become pregnant after undergoing obesity surgery?

Fertility increases significantly after obesity surgery. As a result, we recommend that you take dependable contraception for 12 to 18 months after the operation, such as an IUD. During this time, other contraceptives are not very safe. There is a significant loss of weight and changes in the body in the first few months after the operation. As a result, providing the expectant infant with necessary vitamins and calories to avert harm is quite challenging. Pregnancy is possible after this time. Intensive medical examinations of vitamins and trace elements, on the other hand, are also required to ensure that you give birth to a healthy child.

Diabetes Surgery (SADI-S)