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The Single Anastomosis Duodeno-Ileal bypass (SADI procedure) is a bariatric operation aimed at decreasing postoperative complications and achieving sustainable long-term results: The SADI procedure (Single Anastomosis Duodeno Ileal bypass) is a bariatric procedure that is the evolution of a BPD-DS after a sleeve gastrectomy aimed at decreasing technical difficulty and postoperative complications. Follow-up after 5 years is available and reveals good control of T2DM (74 - 80% of patients with HbA1c below 6%). Other benefits are: a low complication rate and “easy revision” if required. Dr. Andrés Sanchez-Pernaute and Dr. Antonio Torres performed a Live SADI procedure at Hospital Clínico San Carlos of Madrid.