Metabolic health is at the heart of overall well-being, and when traditional weight loss methods fail to deliver long-term results, surgery can offer a transformative solution.
Loop Duodenal Switch surgery on the Gold Coast is a highly effective bariatric procedure designed not only to facilitate weight loss but also to optimise metabolic health.
Want to start your ultimate weight loss journey? Meet Dr. Harald Puhalla, our leading surgeon on the Gold Coast and a specialist in this life-changing surgery. Learn how this procedure combines a restrictive approach with improved nutrient absorption management and long-term support.
What is the Loop Duodenal Switch (SADI-S/SIPS)?
The Loop Duodenal Switch, also known as SADI-S or SIPS, combines two powerful elements of weight loss surgery: restriction and malabsorption. First, a portion of the stomach is removed, reducing its size to promote a feeling of fullness with smaller meals.
Then, a section of the small intestine is bypassed, limiting nutrient absorption. This dual approach maximises weight loss while improving metabolic function, making it especially effective for individuals with conditions like type 2 diabetes or high cholesterol.
How Does SADI-S/SIPS Improve Metabolic Health?
The key benefit of SADI-S/SIPS lies in its ability to influence metabolic processes. By reducing the stomach’s capacity, patients are naturally encouraged to consume smaller meals, which helps with portion control and sustained weight loss. Meanwhile, bypassing part of the small intestine reduces the body’s ability to absorb calories, leading to enhanced fat burning and a more regulated metabolic response.
This combination has shown remarkable results in improving blood sugar levels, making it particularly beneficial for those struggling with type 2 diabetes. As patients lose weight, they often experience a range of benefits, including a reduction in inflammation, improved heart health and better regulation of cholesterol and triglyceride levels.
Ideal Candidates for SADI-S/SIPS Surgery
Not every patient is a candidate for SADI-S/SIPS.
Ideal candidates are typically those with a BMI of 40 or higher often with additional comorbidities, such as diabetes, high blood pressure or sleep apnea. However, as with any surgery, it is crucial that potential candidates undergo a comprehensive medical evaluation to ensure they are suitable for the procedure. Factors like heart disease, uncontrolled mental health conditions or alcohol use disorder can affect the eligibility for surgery, and careful consideration must be given to these issues.
Additionally, patients should be prepared for the lifestyle changes that come after surgery. Commitment to regular follow-up visits, adherence to dietary changes and incorporating exercise into daily routines are essential for long-term success.
Post-Surgery Results and Expectations
Patients who undergo Loop Duodenal Switch Surgery on the Gold Coast can expect significant weight loss in the first year following surgery, typically around 60-80% of excess weight and sometimes up to 95% (reference NICE 2023 Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy for treating morbid obesity). But the benefits extend beyond just the number on the scale. Many patients experience improvements in metabolic conditions, such as:
- Type 2 Diabetes: A reduction or even remission of symptoms is common due to improved insulin sensitivity and weight loss.
- High Blood Pressure: Weight loss often leads to a marked decrease in hypertension, reducing the need for medications.
- Improved Cholesterol Levels: As weight decreases, so do cholesterol and triglyceride levels, leading to better cardiovascular health.
Overall, the procedure can significantly enhance quality of life by boosting energy levels, improving mobility and contributing to better mental health and self-esteem.
Chat to Dr Puhalla about achieving your health goals with Loop Duodenal Switch Surgery on the Gold Coast!


