ss, although high-quality data supporting this has been lacking.
There is evidence that DS may offer better weight loss in patients with a BMI>50. On the other hand, there is strong evidence that resolution or improvement in diabetes tends to be better with the DS/SADI-S than the Gastric Bypass. A study by Buchwald in 2004, compared the results of over 4000 patients after DS, and found that either improvement or resolution of diabetes in occurred 98% of patients.
Resolution or improvement of cholesterol also is almost universal, as a result of the fact that fats are not absorbed well with either surgery. In fact, fat malabsorption can result in frequent loose stools, abdominal cramping, and foul-smelling flatulence; this can be worse if patients are not adherent to a low-fat diet. On average, patients have about 3 bowel movements per day.
Vitamin and mineral supplementation are of utmost importance since the DS/SADI-S are the most “malabsorptive” of the bariatric surgeries. Iron absorption is compromised by bypassing the duodenum; up to 10% of patients after SADI-S were found to have mild cases of anemia 1 year after surgery. Deficiencies in calcium, B12, and folate are also common if patients are not taking appropriate supplementation. Finally, vitamins A, D, E, and K are fat-soluble vitamins; since fat absorption is significantly decreased after DS/SADI-S, it is possible to develop deficiencies in these vitamins, more so than with the Gastric Bypass. Supplementation is routine. Lifelong follow-up is important as with all bariatric surgery to make sure that safe vitamin and mineral levels are maintained.
Both the DS and SADI-S are powerful weight loss tools.
They can help achieve significant weight loss and resolution or improvement of many obesity-related medical problems. The difference between the two is largely related to how the surgery is performed; long-term comparisons are still needed. Generally, surgeons will perform either the traditional DS or SADI-S, but not both. Ultimately, the most important thing is to discuss the pros and cons with your surgical team to decide which bariatric surgery is right for you.
Iranian surgery is an online medical tourism platform where you can find the best Bariatric Surgeons in Iran. The price of SADI-S Surgery in Iran can vary according to each individual’s case and will be determined based on photos and an in-person assessment with the doctor.
For more information about the cost of SADI-S Surgery in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number +98 901 929 0946. This service is completely free.