Single Anastomosis Duodenal Switch (SADI) Cost and Procedure Information

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 SADI Procedure Pricing Summary

National Minimum Price $22,609 (Bristol, TN)
National Average Price $36,740
National Maximum Price $62,176 (Bristol, TN)

Single Anastomosis Duodenal Switch (SADI) Cost Averages Around the Country

Price Range
San Diego, CA SADI Cost Average $24,800 - $68,000
Denver, CO SADI Cost Average $19,900 - $54,600
St. Louis, MO SADI Cost Average $19,500 - $53,600
Baltimore, MD SADI Cost Average $18,000 - $49,400
Boston, MA SADI Cost Average $29,200 - $80,200
Detroit, MI SADI Cost Average $17,500 - $48,000
Minneapolis, MN SADI Cost Average $24,700 - $67,900
San Francisco, CA SADI Cost Average $26,700 - $73,400
Seattle, WA SADI Cost Average $20,200 - $55,400
Tampa, FL SADI Cost Average $17,400 - $47,700
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Featured Facilities that Perform Single Anastomosis Duodenal Switch (SADI)

Name Location Price Range
Certified Providers Price Range
The Hospital at Westlake Medical Center Austin , TX $23,300 - $64,000
Providers Price Range
Memorial Hospital South Bend , IN $18,000 - $49,400
Saint Elizabeth Regional Medical Center Lincoln , NE $18,800 - $51,600
Mercy Medical Center Springfield , MA $19,700 - $54,000
Mee Memorial Hospital King City , CA $35,700 - $98,000
Albany Surgery Center Albany , GA $23,300 - $63,900
Mercy Medical Center Canton , OH $15,900 - $43,600
Parkridge Medical Center Chattanooga , TN $16,800 - $46,100
Holy Spirit Hospital Camp Hill , PA $18,800 - $51,600
Hamot Medical Center Erie , PA $15,000 - $41,100
Lewis-gale Medical Center Salem , VA $17,500 - $48,000
Kennewick General Hospital Kennewick , WA $18,800 - $51,700
Maui Memorial Medical Center Wailuku , HI $25,000 - $68,600
Mid County Surgery Center Saint Louis , MO $15,500 - $42,600
Mercy Medical Center Merced - Dominican Campus Merced , CA $26,700 - $73,400
Florida State Hospital Chattahoochee , FL $15,600 - $42,900
Surgery Center of Midwest City Oklahoma City , OK $14,500 - $39,800
Summit Ambulatory Surgical Center (Sister Pierre) Towson , MD $15,700 - $43,100
Orlando Regional Medical Center Orlando , FL $21,600 - $59,400
Charleston Area Medical Center Teays Valley Hospital Hurricane , WV $15,900 - $43,700
Summit Surgery Center Covington , LA $13,300 - $36,500
Salem Hospital Salem , OR $21,600 - $59,400
South Miami Hospital South Miami , FL $20,700 - $57,000
Baptist Medical Center East Montgomery , AL $14,700 - $40,300
Cape Cod Hospital Hyannis , MA $24,400 - $66,900
Doctors Hospital at Renaissance Edinburg , TX $16,300 - $44,700
Hamilton Medical Center Dalton , GA $39,800 - $109,200
Feather River Hospital Paradise , CA $22,500 - $61,700
Capital Health System - Mercer Campus Trenton , NJ $20,100 - $55,200
Griffin Hospital Derby , CT $23,200 - $63,700

Single Anastomosis Duodenal Switch (SADI) Information & Details

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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