Abstract Video presentation: 37 years old lady, BMI 43, type 2 diabetes, HbA1C = 9. Many surgeons have bad experience with SASI done with 300 cm alimentary limb regarding malnutrition and the OAGB using a 200 cm biliopancreatic limb appears better regarding malnutrition, but bile reflux is an issue. SADI S is an appealing procedure, single anastomosis, endorsed by IFSO, preserving the pylorus helps minimise bile reflux and dumping. SADI-S with a standard 300 cm alimentary limb is usually offered for higher BMI patients 45 kg/m2 or more. The SADJB- S, “the Asian method for performing SADI S " was recognized by as a good option for lower BMI diabetics. We use tailored limb length bypassing 35% of total bowel length and we offer this procedure for any patient indicated for bariatric surgery. In a video by ASMBS, it was proved that stapled anastomosis is better regarding time, simpler, less learning curve and less leak and stricture rates. We do the anastomosis without sacrificing the right gastric artery under the liver stapled to the post wall of the duodenum. the video demonstrates the detailed steps of the procedure.
Ahmed Yousrya (Thu,) studied this question.