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SADI-S and SASI Bypass

SADI-S and SASI Bypass are two very promising new obesity surgery techniques that show excellent results for:

  • Weight loss,

  • Solve the problems related to morbid obesity,

  • Solve complications following weight regain or failure of sleeve gastrectomy.


In particular, the results in terms of resolution of diabetes are extremely encouraging with the normalization of glycated hemoglobin and especially the discontinuation of antidiabetic treatment in more than 90% of cases 3 years after the operation.


Dr. Jabbes Hatem , specializing in bariatric surgery, is one of  best surgeons who practice these two new obesity surgery techniques in Tunisia.

SASI Bypass and SADI-S presentation by Dr. Hatem Jabbes

SASI Bypass

The SASI can be presented as a revisited Sleeve.


Stomach reduction is applied before moving up the small intestine.  In this way, the arrival of food to the intestine is faster and the feeling of hunger disappears.


This technique shows excellent results for the treatment of type 2 diabetes (increased insulin secretion in the pancreas).  


The SADI - S or SADI (Single Anasomosis Duodeno Ileal Bypass with Sleeve gastrectomy) is a restrictive and malabsorptive technique.

The size of the stomach is reduced in size as for a sleeve and separated from the duodenum by preserving the pylorus (lower muscular ring of the stomach).


The stomach is then connected to the last part of the intestine, 2.5 - 3 meters from the junction between the terminal part of the small intestine and the right colon.

Who are these techniques for?

  • People between the ages of 18 and 65 can benefit from these two operations.

  • Obese patients with a BMI greater than 40 or 35 with other medical problems (hypertension, diabetes, etc.) are also affected.

  • Patients already operated on a Sleeve  in the event of weight gain or problems related to the operation (acid reflux, great difficulty eating, etc.).

The SADI-S can consist of a second stage of a Sleeve if the weight loss has proven to be insufficient. It is best considered as a second-line procedure. In case of severe reflux or chronic liver disease, SASI is an excellent solution.


Following these two interventions, there may be a risk of:

  • Malnutrition

  • Vitamin deficiency.


This is why rigorous postoperative and nutritional follow-up accompanied by vitamin and mineral salt supplementation is essential, even more so than for other surgical procedures in order to prevent deficiencies and the risk of undernutrition.


In the absence of supplementation, deficiencies are constant and potentially serious.

                      Hospitalization & price of a Bypass in Tunisia

The duration of hospitalization is 4 to 5 nights for optimal monitoring.

For obvious security reasons, the duration of the stay will be imposed, namely 7 days / 6 nights on Tunisian territory. Essential time to ensure that you can return home safely.

Price of Gastric Bypass in Tunisia with Dr. Jabbes: €4,250 (all inclusive stay).

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