Wilmington Health’s Jayme Stokes recently successfully performed the first SADI-S procedure in the region, according to the practice.

Stokes, a board-certified general and bariatric surgeon, performed a Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S).

“SADI-S represents a significant advancement in bariatric surgery, offering patients a comprehensive solution for long-term weight management,” Stokes said in a news release.

The procedure requires making one intestinal bypass instead of two as part of the patient’s weight-loss surgery, “reducing surgical time and minimizing the risk of intestinal leakage.”

“The two-step laparoscopic surgery begins with the removal of a substantial portion of the stomach, transforming it into a slender ‘sleeve’ structure,” the release stated. “This sleeve restricts food intake and diminishes the production of the appetite-stimulating hormone ghrelin, aiding in appetite suppression.”  

SADI-S was introduced in 2007 as a modification of the more traditional duodenal switch operation, officials said, adding that the procedure has shown enhanced outcomes and reduced postoperative complications. 

"Unlike the duodenal switch, SADI-S preserves a greater portion of the intestine, enabling improved nutrient absorption and minimizing the need for lifelong supplementation," the release stated. "Additionally, the single intestinal connection in SADI-S reduces the risk of leakage and future bowel obstruction, enhancing patient safety and long-term surgical success."

“SADI-S represents a significant advancement in bariatric surgery," Stokes said, "offering patients a comprehensive solution for long-term weight management."