Single anastomosis duodenal switch surgery (SADI), also called a loop duodenal switch, is a type of bariatric surgery similar to gastric sleeve and gastric bypass. During this procedure, the surgeon cuts away most of the stomach, leaving a small, banana-shaped sleeve. Then, they reroute the food’s path through the digestive system, bypassing most of the small intestine. SADI is considered an advancement on the traditional duodenal switch, as it only involves cutting and reattaching the small intestine at one point instead of two.
| National Minimum Price | $22,609 | (Bristol, TN) |
| National Average Price | $36,740 | |
| National Maximum Price | $62,176 | (Bristol, TN) |
| Price Range | |
|---|---|
| Tampa, FL SADI Cost Average | $17,400 - $47,700 |
| Seattle, WA SADI Cost Average | $20,200 - $55,400 |
| Baltimore, MD SADI Cost Average | $18,000 - $49,400 |
| Boston, MA SADI Cost Average | $29,200 - $80,200 |
| Denver, CO SADI Cost Average | $19,900 - $54,600 |
| Detroit, MI SADI Cost Average | $17,500 - $48,000 |
| Minneapolis, MN SADI Cost Average | $24,700 - $67,900 |
| San Diego, CA SADI Cost Average | $24,800 - $68,000 |
| San Francisco, CA SADI Cost Average | $26,700 - $73,400 |
| St. Louis, MO SADI Cost Average | $19,500 - $53,600 |
| Name | Location | Price Range |
|---|---|---|
| Beaufort Memorial Hospital | Beaufort , SC | $15,500 - $42,500 |
| Baptist Medical Center East | Montgomery , AL | $14,700 - $40,300 |
| Rebsamen Medical Center | Jacksonville , AR | $20,400 - $56,100 |
| Synergy First Medical | Brooklyn , NY | $20,900 - $57,400 |
| Wilkes-barre General Hospital | Wilkes-barre , PA | $16,300 - $44,700 |
| Bellevue Woman's Hospital | Niskayuna , NY | $16,400 - $45,100 |
| Cannon Memorial Hospital | Pickens , SC | $17,400 - $47,600 |
| Knoxville Ambulatory Surgery Center | Knoxville , TN | $11,800 - $32,300 |
| Medical Center of Central Georgia | Macon , GA | $45,500 - $125,100 |
| Hazel Hawkins Memorial Hospital | Hollister , CA | $48,700 - $133,700 |
| Verde Valley Medical Center | Cottonwood , AZ | $27,900 - $76,500 |
| Kettering Medical Center | Kettering , OH | $23,300 - $64,000 |
| Summit Ambulatory Surgical Center (Sister Pierre) | Towson , MD | $15,700 - $43,100 |
| Adcare Hospital of Worcester | Worcester , MA | $22,500 - $61,700 |
| Shasta Regional Medical Center | Redding , CA | $28,000 - $76,900 |
| Callaway Community Hospital | Fulton , MO | $16,800 - $46,000 |
| Southeast Georgia Health System - Brunswick Campus | Brunswick , GA | $46,400 - $127,500 |
| Crestwood Medical Center | Huntsville , AL | $16,100 - $44,100 |
| Sentara Careplex Hospital | Hampton , VA | $21,700 - $59,500 |
| John D. Archbold Memorial Hospital | Thomasville , GA | $39,700 - $109,000 |
| Park Ridge Hospital | Fletcher , NC | $17,200 - $47,200 |
| Vacavalley Hospital | Vacaville , CA | $36,200 - $99,500 |
| Emanuel Medical Center | Turlock , CA | $26,200 - $72,000 |
| Women's and Children's Hospital | Lafayette , LA | $15,200 - $41,800 |
| Saint Cloud Hospital | Saint Cloud , MN | $18,900 - $51,900 |
| Gulf Coast Medical Center | Biloxi , MS | $15,200 - $41,700 |
| Indian River Memorial Hospital | Vero Beach , FL | $15,500 - $42,400 |
| Yuma Regional Medical Center | Yuma , AZ | $25,500 - $70,100 |
| Parrish Medical Center | Titusville , FL | $17,500 - $48,200 |
| Sahara Surgery Center | Las Vegas , NV | $19,200 - $52,800 |
Single Anastomosis Duodenal Switch Surgery Cost and Procedure Information
Single anastomosis duodenal switch surgery is a bariatric procedure for people with extreme obesity. Like traditional duodenal switch surgery, SADI is usually only an option for those with a body mass index (BMI) of 50 or higher and those with severe obesity-related disease. And, as is the case with all types of bariatric procedures, surgery isn’t recommended until you’ve tried and failed to lose weight with diet and lifestyle changes.
Most patients can expect to lose between 50 and 75% of their excess weight in the year following their loop duodenal switch surgery, lowering their risk for obesity-related health conditions. Weight loss success depends in part on the patient’s diet and lifestyle in the months and years after their surgery.
The cost of loop duodenal switch surgery depends on your surgeon and healthcare facility, whether your procedure is inpatient or outpatient, and how much (if any) of your surgery is covered by your health insurance.
Patient Preparation for Single Anastomosis Duodenal Switch Surgery
As you prepare for your loop duodenal switch surgery, your healthcare provider will give you diet and exercise guidelines to get your body ready for the procedure. They may also counsel you to stop smoking. If you’re on blood thinners or diabetes medication, you may need to talk to your doctor about changing your prescription in the weeks leading up to your procedure.
Your provider may also order different lab tests or diagnostic tests to make sure you’re a good candidate for surgery. Additionally, you may have the option to talk with a counselor or nutritionist to help you understand and prepare for the lifestyle changes you’ll go through after your surgery.
Before you go in for your procedure, you’ll need to arrange for transportation to and from the hospital or surgery center. It’s also a good idea to prepare your home for recovery and buy any multivitamins, protein supplements, or other doctor-recommended items in the weeks before your surgery.
What to Expect During and After Single Anastomosis Duodenal Switch Surgery
Loop duodenal switch surgery is often performed laparoscopically. During the procedure, a bariatric surgeon operates through several small incisions in the abdomen. They will divide your stomach with staples, then cut and remove the outer portion, leaving a small sleeve about one-third the size of your original stomach.
Then, the surgeon makes an incision beneath your duodenum (the part at the very top of your small bowel) to detach the small intestine from the stomach. They connect the duodenum farther down, bypassing about two-thirds to three-fourths of your small intestine and shortening the path your food takes from your stomach to your large intestine.
You’ll receive general anesthesia before the surgery, so you’ll be unconscious and pain-free during the procedure. Typically, SADI takes around two to four hours, not including preparation and recovery time. Immediately after your surgery, your medical team will take you to a recovery room where they can monitor you for any complications.
If you had your surgery at an outpatient surgery center, you should go home the same day. If you had your procedure at a hospital or other inpatient center, you might stay for one or more nights, depending on your rate of recovery.
Before you go home, you’ll be given specific guidelines for caring for your incisions, gradually introducing solid food into your diet, and starting a physical activity routine during your recovery. Don’t be afraid to speak up if you have any questions or concerns before or after your surgery. Your medical team is there to care for you and provide the information you need to feel comfortable about the procedure.
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