SADI-S Procedure

Preoperative work-up:

• Endoscopy

• Barium Swallow

• Abdominal Ultrasonography: normal

Blood preoperative tests:

• Glucose: 106

• HbA1C: 5.9%

• Insulin: 36. H Pylori: -

Technique description:

We will perform a Single Duodeno-Ileal Anastomosis with Sleeve Gastrectomy at 250 cm from the Ileo-cecal valve.

Procedure Steps:

• 1. Dissection greater curvature and Duodenum

• 2. Sleeve Gastrectomy under a 54 French (18 mm) Bougie

• 3. Duodenum section

• 4. Bowel measurement at 150 cm form the ileo-cecal valve

• 5. 2 layers Duodeno-Ileal Anastomosis

• 6. Liver Biopsie

Learning Points:

• 1. Gastroduodenal dissection

• 2. Sleeve Gastrectomy

• 3. Bowel measurement

• 4. 2 layers Duodeno-Ileostomy