SADI-S surgery is changing lives across Cary, NC—and it may be the long-term weight loss solution you’ve been looking for. Short for Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy, this advanced bariatric procedure offers impressive results for patients who need more than a gastric sleeve but want fewer risks than a traditional duodenal switch. At Bruce Wellness and Aesthetics, we help guide you through every stage of the process with personalized care, medical expertise, and ongoing support.
What Is SADI-S Surgery?
SADI-S combines two powerful approaches into one procedure. First, it reduces stomach size (sleeve gastrectomy), then it reroutes part of the small intestine to reduce calorie and nutrient absorption (duodeno-ileal bypass).
This hybrid surgery is designed for significant, sustained weight loss. It also improves or resolves metabolic conditions like type 2 diabetes, high cholesterol, and sleep apnea. SADI-S is typically performed laparoscopically, which means smaller incisions, less pain, and quicker recovery.
Who’s a Good Candidate for SADI-S?
This procedure is generally best for patients who:
- Have a BMI of 40+ or 35+ with obesity-related conditions
- Have not found long-term success with medical weight loss alone
- May need more weight loss than gastric sleeve provides
- Are looking for a simplified alternative to the full duodenal switch
At Bruce Wellness and Aesthetics, we offer comprehensive pre-surgical evaluations—including lab work, SECA body composition scans, and medical history reviews—to determine if SADI-S is the safest and most effective option for you.
Benefits of SADI-S Surgery
SADI-S is gaining popularity for a reason. Here’s what sets it apart:
- Higher weight loss potential than a standard sleeve gastrectomy
- Single connection (anastomosis), lowering complication risk
- Preserves the pylorus valve, which helps regulate digestion
- Improved metabolic outcomes—including better blood sugar control
- Minimally invasive approach, leading to shorter hospital stays
This makes SADI-S ideal for patients who want meaningful weight loss without the complexity of traditional bypass procedures.
What to Expect: Before, During, and After Surgery
At Bruce Wellness and Aesthetics in Cary, we take a supportive, step-by-step approach.
Before Surgery
Preparation is key. You’ll go through:
- Medical weight loss counseling
- Nutritional guidance
- Psychological readiness assessment
- Pre-op SECA body composition analysis
- Fitness support through our Body by Bruce community program
This phase is about building strong habits and ensuring your body is ready for surgery and beyond.
During Surgery
The procedure typically takes about 2 to 3 hours under general anesthesia. Most patients spend one or two nights in the hospital. Our surgical team uses advanced laparoscopic techniques to ensure optimal precision and reduced downtime.
After Surgery
Recovery is carefully structured. Here’s a basic timeline:
Week 1–2:
- Liquid and soft food diet
- Light movement encouraged
- Close monitoring by our care team
Week 3–6:
- Progress to soft proteins
- Gradual reintroduction of more textures
- Start light exercise
3 Months and Beyond:
- Full return to normal diet
- Regular SECA scans and lab checks
- Ongoing weight management support
Our Cary office stays closely involved at every step, helping you avoid nutritional deficiencies and monitor long-term success.
Long-Term Support After SADI-S
SADI-S isn’t a one-time fix. It’s the start of a lifelong wellness plan.
At Bruce Wellness and Aesthetics, we stay engaged long after surgery with:
- Nutritional coaching and supplement planning
- Monthly support groups and one-on-one check-ins
- Body composition tracking with SECA
- Access to semaglutide or tirzepatide if needed
- Hormonal assessments if weight plateaus
We also offer aesthetic services like noninvasive body contouring to help you feel confident as your body transforms.
Why Choose Bruce Wellness and Aesthetics in Cary?
Dr. Jon Bruce brings years of surgical expertise and a compassionate approach shaped by his own weight loss journey. As a local, family-run clinic, we serve Cary, Raleigh, Apex, Morrisville, and Holly Springs with medical integrity and unmatched personal care.
Here’s what makes our program different:
- One-on-one care with a physician who understands
- Complete pre- and post-surgical support
- Customized wellness and aesthetics planning
- Honest communication and medical transparency
- Local, accessible follow-ups right here in Cary
Our goal? Help you live longer, feel stronger, and gain lasting confidence—without guesswork.
Ready to see if SADI-S surgery is right for you?
Book a consultation today at Bruce Wellness and Aesthetics. Call us or visit us at 160 Macgregor Pines Dr, Suite 310A, Cary, NC 27511. Your health is personal. So is our care.