SADI (Duodenal Switch)

First And Only Practice In San Diego Offering SADI

“We are thrilled to be able to provide the SADI procedure and other treatment options to the community and beyond. Having SADI in our range of surgical options truly allows us to be world leaders and tailor the surgical approach to the needs of individual patients. It differentiates us from many ‘one-size-fits-all’ practices.” – Dr. Bhoyrul

Duodenal San Diego: SADI Duodenal Switch Procedures – What is SADI?

What is SADI? SADI-S, or single anastomosis duodeno–ileal bypass with sleeve gastrectomy, is another option available to our patients who are trying to lose weight.

It’s one of the reasons why so many patients struggling with obesity and obesity-related health problems visit Olde Del Mar Surgical for bariatric surgeries in San Diego.

SADI-S is relatively new in the bariatric world. It has resulted in excellent outcomes and tremendous successes for patients who have persistent severe obesity (despite previous sleeve gastrectomies) and/or patients with an initial BMI of greater than 50kg/m2.

The caring and experienced team at Olde Del Mar Surgical invites patients to consider the SADI-S procedure in San Diego. It has been proven to help obese patients lose weight.

As with all bariatric surgeries, this procedure is not for everyone. There may be concerns regarding long-term nutritional deficits and the possibility of complications.

We can work to counteract these potential complications. You will discuss this and more with your surgeon when you come in for an initial consultation.

SADI San Diego

At present, we are the ONLY practice in San Diego and one of only a few in California to offer the SADI-S operation. SADI-S in San Diego is often considered revisional surgery as it is often used following sleeve gastrectomy.

It’s important to remember that this procedure differs slightly from the biliopancreatic diversion with duodenal switch. That procedure removes part of the stomach (up to three-fourths of the stomach entirely), while also rerouting the intestines (i.e., bypassing the small intestine).

The single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S) is very similar. The result of the surgery will be to limit how much food — and therefore calories — one can consume.

We Offer Affordable Surgery

At Olde Del Mar Surgical, we take most insurances and offer
financing options to suit your needs and make surgical excellence
available to you.


Body Mass Index (BMI) Weight Loss Calculator

In order to be considered a suitable candidate for weight loss surgery, you must have either morbid obesity or obesity with co-morbid health problems such as diabetes. We use the body mass index (BMI) system to calculate your body weight:

  • BMI of 30 to 40 indicates obesity
  • BMI of higher than 40 is commonly referred to as morbid obesity.

Insurance typically covers surgery if your BMI is greater than 40, or in some instances between 35 and 40, if you have ongoing illnesses that are related to obesity. The FDA has approved weight loss surgery for people with a BMI of greater that 30, but these lower BMI categories are not typically covered by insurance.

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Olde Del Mar Surgical

You deserve surgical excellence. Our surgeons, Drs. Sunil Bhoyrul and Pascal Bortz perform duodenal procedures in San Diego using advanced surgical techniques followed by standard-setting follow-up examinations and health care monitoring.

Dr. Bhoyrul is the medical director for bariatric surgery at Scripps Memorial Hospital and Sharp Coronado Hospital. He is the co-editor of one of the world’s first textbooks on laparoscopic surgery. Dr. Bortz is the director of Robotic Surgery at Sharp Coronado hospital.

Here at Olde Del Mar Surgical, we are pleased to report that we have some of the best outcomes and lowest complication rates in the country. In fact, our complication rate of 1% is well below the national rate of 5%.

With the guidance of our expert providers Drs Bhoyrul and Bortz and Kirsten Goshen FNP, we have become the premier provider of bariatric surgeries in San Diego. The resulting improvements in obesity-related ailments — sleep apnea, high blood pressure, type 2 diabetes, etc. — are also notable.

In addition to those mentioned above, a return to a healthy weight can contribute to long-term improvements in instances of the following:

  • Heart Disease
  • Cardiovascular Disease
  • High Cholesterol
  • Infertility
  • Stroke

We believe (and our experience bears this out) that a patient’s weight-loss success depends on more than just which type of weight-loss surgery they undergo. It takes a broader approach, one in which the patient feels centered and cared for and has all their questions answered.

Our office is a welcoming place for you to learn about all our minimally invasive procedures and our different types of surgery. We perform gastric sleeve, gastric bypass (surgery also known as Roux-en-Y gastric bypass), adjustable gastric banding, and more.

For many people, diet and exercise just aren’t enough to lose weight. Even if one further restricts a diet and increases physical activity, it can still be tough to get to a healthy weight.

That’s why we’re here — and why we’re here for you.

Get in touch with us today to get started.

Are You a Candidate for SADI?

Contact us to find out if our San Diego SADI surgery is the right solution for you.

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