For individuals with a BMI over 50, losing weight through traditional diet and exercise alone is like an impossible battle. This level of obesity, often referred to as super obesity, often comes with many serious health risks such as type 2 diabetes, high blood pressure, sleep apnea, joint pain, mobility issues and increased cancer risks to mention only a few. Most patients in this category have already tried multiple weight loss methods without success. Bariatric surgery is the most effective option for sustainable weight loss and better overall health.
However, not all weight loss surgeries are equally effective for super-obese patients. While procedures like sleeve gastrectomy work well for those with a lower BMI, they may not provide the best long-term results for individuals with a BMI over 50. That’s where SADI-S (Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy) comes in. This advanced bariatric procedure offers greater weight loss, better metabolic improvements, durable weight loss and a low risk of complications, making it the ideal choice for high-BMI patients.
Let’s explore why SADI-S is the best bariatric surgery for people with a BMI over 50 and how it can help transform lives.
How SADI-S Provides Superior Weight Loss and Long-Term Results
SADI-S is a game-changer for patients with BMI over 50 because it combines the benefits of gastric sleeve and gastric bypass, offering a stronger, more effective solution for severe obesity.
SADI-S involves two key steps:
- Sleeve Gastrectomy – The surgeon removes about 80% of the stomach, significantly reducing food intake and hunger.
- Single Anastomosis Duodeno-Ileal Bypass – Instead of a traditional bypass, the small intestine is rerouted in a way that reduces calorie absorption while maintaining better nutrient retention compared to a standard gastric bypass.
This approach makes SADI-S the most powerful bariatric surgery for long-term success in high-BMI patients.
Key Benefits of SADI-S for BMI Over 50:
- More Weight Loss – Patients experience greater and more sustained weight loss compared to gastric sleeve or gastric bypass.
- Better Metabolic Effects – SADI-S improves insulin sensitivity, making it highly effective for type 2 diabetes remission.
- Reduced symptoms of Dumping Syndrome – preservation of the pylorus (the exit valve to the stomach) means reduced symptoms of dumping syndrome and less variations in blood sugar levels in the aftermath of surgery.
- Lower Risk of Weight Regain – Due to both restriction and malabsorption, patients maintain long-term weight stability.
- Improved Mobility & Quality of Life – Significant weight loss leads to better joint health, mobility, and energy levels.
For patients with BMIs over 50, these benefits mean not just losing weight but also gaining back their lives, health, and confidence.
Why SADI-S is the Best Choice for High-BMI Patients
For individuals with a BMI over 50, SADI-S offers life-changing benefits that go beyond just losing weight.
- Better Diabetes Remission – Many patients with type 2 diabetes see their condition completely reversed after SADI-S.
- Improved Heart Health – Losing significant weight helps lower blood pressure, cholesterol, and heart disease risk.
- Less Joint Pain & Better Mobility – Weight loss reduces strain on knees, hips, and back, making movement easier and pain-free.
- Higher Success Rates – Studies show that SADI-S patients maintain their weight loss better than those who undergo gastric sleeve or bypass alone.
- Improved Quality of Life – Beyond physical health, patients report higher confidence, better sleep, and greater mental well-being.
For those struggling with severe obesity, SADI-S offers not just a solution, but a second chance at life.
At Blackrock WeightCare, our expert surgical team, led by Dr. William Robb, provides the highest level of care in Ireland’s only dedicated Robotic Bariatric Surgery Centre. Our goal is to help every patient achieve sustainable weight loss and better health.
If you’d like to learn more about SADI-S and whether it’s right for you, we’d love to chat.
Your Health. We Care.
