We will start by describing the SADI-S as it is basically a simplified version of the DS. While similar to the DS, the SADI-S is simpler and takes less time to perform as there is only one surgical bowel connection. To start the operation a sleeve gastrectomy is performed, making a smaller tube-shaped stomach. The first part of the small intestine is divided just after the stomach. A loop of intestine is measured 9-10 feet from its end and is then connected to the stomach. This is the only intestinal connection performed in this procedure. When the patient eats, food goes through the pouch and directly into the latter portion of the small intestine. At this point the food mixes with digestive juices from the first part of the small intestine. This allows enough absorption of calories, vitamins and minerals to maintain healthy levels of nutrition. This surgery offers good weight loss along with less hunger, more fullness, blood sugar control and diabetes improvement.