Robotic Conversion of Single Anastomosis Duodeno-Ileal Sleeve (SADI-S) to Roux-en-Y Gastric Bypass (RYGB): A Novel Approach

The single anastomosis duodeno-ileal sleeve (SADI-S) presents a simplified alternative to the duodenal switch. However, this procedure may result in malabsorption and associated complications for some patients. Revisional bariatric surgery can be extremely challenging, particularly following a previous intervention, and conventional laparoscopy may be limited in these complex cases. The introduction of robotic surgery has improved both precision and safety in such cases. This report describes a scarce case of robotic conversion from SADI-S to Roux-en-Y gastric bypass, illustrating its feasibility and favorable patient outcomes.