There is already a plugin available for Mytheatre that allows MT to function as the DVB-S backend for Sage, and Sage handles all the channel changes and recording functions. It works great but, Mytheatre is instable and is lacking support and a few features (like H.264 stream handling) that is available in DVB-Dream.
So, the best of both worlds would be to have a plugin capable of doing the same thing with SageTV/DVB Dream.
Here is a link to the MT plugin and more information: http://forums.sage.tv/forums/showthread.php?t=12473
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