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Classic DS uses two connections; SADI uses one. Both create a much longer bypass than gastric bypass, producing stronger hormonal shifts and calorie malabsorption. SADI is the streamlined evolution of the DS.

SADI/DS delivers some of the highest diabetes‑resolution rates in metabolic surgery. In a randomized trial, the duodenal switch resolved diabetes in ~95% of patients by dramatically improving gut‑pancreas signaling and natural GLP‑1 release.

diabetes