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

## TL;DR

This paper presents a rare case of using robotic surgery to convert a SADI-S bariatric procedure to a Roux-en-Y gastric bypass, showing it is feasible and effective.

## Contribution

The paper introduces a novel robotic approach for revising a SADI-S procedure to RYGB, addressing challenges in revisional bariatric surgery.

## Key findings

- Robotic conversion from SADI-S to RYGB was successfully performed.
- The robotic approach demonstrated improved precision and safety in complex revisional cases.
- The patient experienced favorable outcomes following the conversion.

## Abstract

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.