Substantial and Sustained Weight Loss Surgery

Gastric Sleeve

Sleeve Gastrectomy, or Gastric Sleeve is a type of bariatric surgery, intended to treat obesity by inducing weight loss. It is gaining popularity thanks to the simplicity of the procedure and the substantial amount of initial weight loss seen by patients.

Clinic 360 has been able to help many patients change their lives by offering this type of lifesaving procedure. Considered to be the new gold standard in weight loss surgeries, gastric sleeve is not only able to reduce the amount of food that the stomach can hold, but it can lower the overall body fat by modifying the signals that work between your stomach and your brain.

Is Gastric Sleeve Right for Me?

After exhausting diet and exercise options and finding out that these methods are not potent enough for your weight-loss needs, you may be ready to consider bariatric options, especially if your health is at risk.

Body Mass Index or BMI, which is a calculation based on your height and weight is one of the most determining factors that can help with your candidacy for gastric sleeve. Candidates need to have a BMI of 30 or higher. To find out what your BMI is, you can use the table below:

ft
in
lbs
cm
kg
Other factors to consider are if you have a realistic expectation of the outcome of surgery, and if you are able to grasp what the surgery can and cannot do for you. Gastric Sleeve surgery is a tool that is intended to jumpstart your commitment to sensible eating habits and regular exercise. With that being said, the surplus of benefits that you can gain from Sleeve Gastrectomy including a longer and happier life can definitely make surgery worth it.

Once you have decided that you are ready for a change and are able to sustain a healthy, active lifestyle, the best way to find out if you are a candidate for gastric sleeve is to call Clinic 360 and make an appointment for a consultation. During your consultation you will be provided with the resources and professional advice to guide you in the right direction.

Advantages of Sleeve Surgery

There are 3 main bariatric surgeries available to patients: gastric bypass, gastric banding and gastric sleeve. They all have their advantages and disadvantages, however let’s run through the advantages of gastric sleeve:

  • Faster recovery
  • Shorter clinic stay
  • Minimally invasive
  • Small scars
  • Less risk of complications

Most of these advantages stem from the fact, that sleeve gastrectomy uses a minimally invasive technique, with a short operation time (ie- less time for you to be under anesthesia, which reduces complications of surgery that much more).

Health Benefits of Gastric Sleeve

With gastric sleeve you can lose 60-70% of your excess weight. This calculation is also referred to as Expected weight loss, and it is an estimate as to how much of your excess weight you will lose after surgery. The result of losing so much weight, and one of the other main goals of sleeve gastrectomy is to provide you with a healthier life. Within the first year to 18 months after surgery patients are expected to see the most results, which include many obesity related diseases such as:

  • Dramatic Weight Loss
  • Reduced Cholesterol
  • Reduced Blood Pressure
  • Control/Remission for Type II Diabetes
  • Controls Sleep Apnea & Improves Sleep Quality
  • Decreases Joint/Muscle pain
  • Overall Better Quality of life
  • Increased Mobility
  • Improved Confidence

How Does Gastric Sleeve Cause You to Lose Weight?

Gastric sleeve is a two-fold procedure as it not only changes how much food a person is able to hold, but how much food a person wants, both which help to induce weight loss.

  1. Since your stomach is now smaller in size then it was before, you now feel satisfied (full) with smaller amounts of food.
  2. Ghrelin, which is known as the hunger hormone, is mainly produced in the stomach, especially in the portion of the stomach that gets removed during sleeve gastrectomy. Normally in between meals when the stomach is empty, ghrelin is produced and signals are sent to the brain to give us the urge to eat. By removing a large concentration of ghrelin, which is what happens after gastric sleeve surgery, you can wait longer in between meals before feeling the need to eat again, and you also feel satisfied with less amounts of food.

The gastric sleeve surgery is permanent, but it does not affect anything critical as to how the stomach naturally works. The surgery has minimum effects on the digestive process, which reduces the risk of malabsorption complications, which can be seen in other types of bariatric procedures such as gastric bypass.

How is Gastric Sleeve Performed?

The Gastric Sleeve procedure takes about 1.5 hours and is completed under General Anesthesia, meaning you will be put to sleep. Surgery is performed in one of our two operating rooms at Clinic 360, with the best possible surgical team.The surgeon(s) will mark the incision sites pre-operatively forming a ‘U’ shape around your abdomen. These incision sites are very miniscule, leaving the scars to be almost invisible.

The surgeon(s) enter the stomach laparoscopically using trocars. A camera is inserted through one of the trocars, this allows them to have a visual of the stomach through a video monitor and to precisely guide other instruments. Other instruments are then inserted through the other trocars for the removal and stapling of the stomach.

They remove 75-80% of the original stomach, leaving a sleeve-like portion, very similar looking to a banana. The connections to your esophagus and small intestines are left intact.

The remaining stomach is sealed using staples, and the incisions on the abdomen are sutured up. Before surgery the average stomach is able to hold 4-6 cups, after surgery it will be able to hold ½ – 1½ cups.

360 Sleeve Clinic Bariatric Surgeons

Dr. Kashif Irshad

Bariatric Surgeon (MD, MSc, FRCSC)

Dr. Irshad is Chief of the Division of Thoracic and Foregut Surgery at William Osler Health System.
In 1998 he obtained his medical degree at McGill University, where he also completed his formal training in General Surgery. During his residency, he completed his Masters of Science in Experimental Surgery.
He then trained in Thoracic Surgery at McMaster University.
Following his training at McMaster, he completed a prestigious fellowship at the University of Pittsburgh Medical Centre. In Pittsburgh, Dr. Irshad trained under world-renowned bariatric and esophageal surgeons.
Read More >

Dr. Kashif Irshad - Bariatric Surgeon - Best Practice Surgeon at 360 Sleeve Clinic

Dr. Pavi Kundhal

Bariatric Surgeon (MD, FRCSC, Dipl. ABOM)

Dr. Kundhal is a general and laparoscopic surgeon specializing in bariatric and minimally invasive surgery and has over 12 years’ experience performing gastric sleeve.
He attended medical school at University of Toronto, where he also completed his general surgery training.
Dr. Kundhal also completed a Clinical Fellowship at the Toronto East General Hospital with a focus on advanced minimally invasive procedures.
A Diplomate of the American Board of Obesity Medicine, he has performed hundreds of gastric sleeve surgeries and believes gastric sleeve is the first part of your weight loss journey.
Dr. Kundhal is Site Chief of General Surgery at Brampton Civic Hospital and has been a member of the Department of Surgery at William Osler Health System since 2012.

Dr. Ali Hazrati - Bariatric Surgeon - Best Practice Surgeon at 360 Sleeve Clinic

A Glimpse into Gastric Sleeve Recovery

Once the surgery is finished you may think that the roughest part is over, however surgery is just the beginning of the journey you will undergo to a healthier new you. It will be a great help to you to have as many loving and supporting family members as possible around you before surgery, and the months after surgery. This will help give you courage and strength to keep an active lifestyle, since you will go through many emotional and physical changes. One of the most important things to remember to ensure your sleeve gastrectomy is a success is to understand that surgery is not just a “quick fix”, and you must commit to a “complete lifestyle change” for the rest of your life.

Directly after surgery you will need to stay overnight at Clinic 360. For the first week you will be on a liquid only diet, with restriction as to what you can and cannot consume. This is why you meet with a nutritionist weeks before your surgery in preparation for this phase. The next day you will be discharged and sent home. For the next couple of weeks you will be consuming liquid to blended foods, to settle your stomach. Once you reach the 2 month mark you can progress to a regular diet as tolerated with restrictions to portion sizes.

It will take up to 18 months to lose the expected weight. Most patients lose about 60%-70% of their excess weight. You will lose weight rapidly after the first few months and this loss will most likely plateau. This is expected; however don’t let this discourage you from losing the rest of your weight. Plateauing is just a way of your body getting used to the grand change it has undergone. There are many ways to overcome this such as adding in a new external change to your exercise regime.

Knowledge and preparation of the gastric sleeve surgery are two great ways to help you with the success of the procedure and to changing your life for the better. At Clinic 360, we are here to help you every step of the way!

Steps to Booking Sleeve Gastrectomy at Clinic 360

The initial step at Clinic 360 is booking a free consultation. This can be achieved over the phone with our highly trained surgeons, or at our clinic. In this step, the surgeon(s) will determine what course of action should be taken to help you maintain a healthy lifestyle while also achieving your weight loss goals.

Following this, once you feel comfortable and confident in the diagnosis from the doctors and you are a viable candidate for the Gastric Sleeve procedure, a surgery date can be secured.

Once your date is secured there are a few things that need to be completed by you. You would need to:

  • Review and complete the provided consent forms
  • Fill out a patient health questionnaire
  • Get bloodwork and an ECG done at your local lab
  • Book a pre-op appointment with the anesthesiologist
  • Book an appointment with our nutritionist

The pre-operative appointment is done with the Anesthesiologist so that he/she can get a better understanding of your medical history. At Clinic 360 we want to address all and any health concerns that may come up, to ensure you receive a comfortable and at most, pain free experience.

The appointment with the nutritionist is important as it becomes the stepping stone to help with the adjustments which are going to be made in your diet. Figuring out what foods you will be comfortable with and what kind of diet will best help your weight loss journey are vital.

Let’s Talk

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Related Links

All About Gastric Sleeve Surgery

6-Year After-Care Program

Out-of-Town Patients

Cost & Financing

Pre Gastric Sleeve Surgery

360 Sleeve Team

About Dr. Kashif Irshad

About Dr. Ali Hazrati

Gastric Sleeve Surgery Recovery

Post-Op Exercise

Gastric Sleeve Diet

Post-Op Cosmetic Surgery

Tummy Tuck

Arm Lift (Brachioplasty)

Breast Lift (Mastopexy)

Gynecomastia

Cellulite Endermologie

360 Sleeve Booklet

Anaesthesia & Sedation

Choosing the Right Surgeon

1 year post #gastricsleeve at @360sleeve - down 100lbs!!! 🙌🙌

Follow us at @360sleeve for all things gastric sleeve surgery

📱For more information please visit our website at www.360Sleeve.com or book a free consultation with us at 416-360-7360
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At @360sleeve we strive to provide our patients with the highest standard of care every step of the way.

⭐️ Here’s what our patient has to say about her experience with us :
" I had gastric sleeve surgery at 360Sleeve. The staff was amazing, the nurses, surgeons and dieticians took great care of me pre and post op. Everyone made sure I was comfortable and the follow up care was fantastic. It’s been 81 days since surgery, I’ve recovered well and quickly. Everyone at 360Sleeve are amazing, supportive and so genuine. I couldn’t have asked for a better staff to be on this journey with! And in case anyone was wondering, I’ve lost 47lbs since surgery! I’m so excited and so grateful I was in caring hands! "

Follow us at @360sleeve for all things gastric sleeve surgery

To book a free consultation, call us at 416-360-7360 or visit our website at 360Sleeve.com for more information. Link in our bio
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Protein pancake face-off! What is the hype with Flourish Protein Pancakes? They are delicious, contains 23g of protein per serving, and is packed with calcium, fibre, iron and only 1g of sugar. The average cost for a pack of Flourish Pancake Mix is $10, which makes about 7 pancakes.

If you are looking for a more budget friendly version (about $4/pack), check out PCbrand Buttermilk Protein Pancake Mix. Although it contains less protein, calcium and iron, and slightly more sugar, it is still a good alternative and just as delicious.
Let us know if you have tried any of these or what’s your favourite protein pancake.

Follow us at @360sleeve for all things #gastricsleevesurgery

For more information on gastric sleeve surgery please visit our website at 360Sleeve.com - link in our bio

#vsgeats #proteinpancakes #vsgcommunity #vsgsupport #vsginstagram #vsgfamily #vsgfood #bariatricbabes #bariatricmeals
#bariatricmealprep
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#HairLoss post bariatric surgery got you down? Good news is that #TelogenEffluvium is the most common cause of hair loss after WLS.

This type of hair loss is temporary and can occur due to emotional stress, major surgery, nutritional deficiencies, medications and rapid weight loss and fortunately, rarely lasts more than about 6 months 🙌🏽

Here are the top essential nutrients that will help hair growth:

1. Protein: Eating adequate protein is important for hair growth because hair follicles are made of mostly protein.

2. Collagen Protein: Hair cells are composed of keratin protein. The main component of keratin is proline, which is a nonessential amino acid that makes up collagen.
You can eat food that helps your body produce collagen or you can take collagen peptides supplements.

3. Biotin: Biotin is essential for the production keratin, which is the main component in hair.

4. Zinc: Zinc helps support the hair growth and repair cycle. However, taking too much Zinc can also promote hair loss. Oysters are a great natural source of zinc.

5. Vitamin D: Vitamin D plays an important role by stimulating new and old hair follicles. When there isn't enough vitamin D in your system, new hair growth can be stunted.

6. Vitamin C: Vitamin C is a powerful antioxidant that helps protect against oxidative stress caused by free radicals, which can hamper hair growth. Vitamin C also supports the body in collagen formation, which is required for optimal hair growth.

7. Iron: Iron helps boost circulation and carries oxygen to your hair's roots, which helps the hair grow faster and longer.

8. Omega-3: Studies have shown that Omega 3 can stimulate hair growth

👉Don’t forget to sleep well & de-stress

If you're interested in learning more about gastric sleeve or booking a free consultation, please visit the link in our bio.

#gastricsleevesurgery #gastricsleevecommunity #bariatric #bariatricsleeve #bariatrichairloss #hairloss #wls #vsg #weightlosssurgery
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Often patients ask us about #HairLoss post sleeve gastrectomy. Some are concerned to see hair thinning post-op and want to know whether this is a permanent affair or if it is a fleeting side effect. Good news is that #TelogenEffluvium is the most common cause of hair loss after WLS and it is temporary!

This type of hair loss is temporary and can occur due to emotional stress, major surgery, nutritional deficiencies, medications and rapid weight loss and fortunately, rarely lasts more than about 6 months 🙌🏽

Here are the top essential nutrients that will help hair growth:

1. Protein: Eating adequate protein is important for hair growth because hair follicles are made of mostly protein.

2. Collagen Protein:
Hair cells are composed of keratin protein. The main component of keratin is proline, which is a nonessential amino acid that makes up collagen.
You can eat food that helps your body produce collagen or you can take collagen peptides supplements.

3. Biotin: Biotin is essential for the production keratin, which is the main component in hair.

4. Zinc: Zinc helps support the hair growth and repair cycle. However, taking too much Zinc can also promote hair loss. Oysters are a great natural source of zinc.

5. Vitamin D: Vitamin D plays an important role by stimulating new and old hair follicles. When there isn't enough vitamin D in your system, new hair growth can be stunted.

6. Vitamin C: Vitamin C is a powerful antioxidant that helps protect against oxidative stress caused by free radicals, which can hamper hair growth. Vitamin C also supports the body in collagen formation, which is required for optimal hair growth.

7. Iron: Iron helps boost circulation and carries oxygen to your hair's roots, which helps the hair grow faster and longer.

8. Omega-3: Studies have shown that Omega 3 can stimulate hair growth

👉Don’t forget to sleep well & de-stress

Interested in gastric sleeve surgery? Learn more or book a free consultation by tapping the link in our bio.

#gastricsleevesurgery #gastricsleevecommunity #bariatric #bariatricsleeve #bariatrichairloss #hairloss #wls #vsg #weightlosssurgery
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Confidence is key 😎 #nonscalevictory

Do you find you've become more confident after gastric sleeve surgery?

To learn more about weight loss surgery or to book a free consultation, please visit the link in our bio.

#gastricsleever #gastricsleevesurgery #gastricsleevecommunity #gastricsleevelife #wls #wlscommunity #vsgsurgery #vsglife #vsgfamily #nonscalevictory #weightlosssurgery #weightloss
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Do you struggle with disordered eating or emotional eating? If you are considering weight loss surgery it is important to know that WLS is not likely to solve the eating disorder.
For those who suffer from obesity as a result of binge eating disorder, WLS can help you lose weight; however, it does not address psychiatric concerns associated with eating disorder behaviours.

If you suffer from eating disorder or emotional eating, you find find these resources helpful.

For more information on gastric sleeve surgery please visit our website at 360Sleeve.com or call to book a free consultation with us- 416-360-7360

#weightlossjourney #eatingdisordersupport #emotionaleating #weightlosssupport #wlscommunity #vsgcommunitysupport #vsgjourney #vsgsupport
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A lot of people think the #VSGJourney is a linear one - you undergo surgery and suddenly, you’re at your goal weight. This couldn’t be further from the truth!

Gastric Sleeve is a journey that will mostly likely take many unsuspected turns and will require A LOT of hard work on your end - both physically and mentally.

All this considered, your goals are the bend! Just Keep Going! 💙

What's one tip you'd tell someone considering #WeightLossSurgery? 👇

If you are ready to get started, please tap the link in our bio to book a free consultation.

#bariatricsurgery #gastricsleeve #gastricsleevecommunity #weightloss #vsgcommunity #vsgsupport #wlssupport #wlscommunity
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Looking for an Eggciting way to make eggs? These Japanese egg custards are packed with protein and are so delicious!

Full recipe on www.justonecookbook.com/instant-pot-chawanmushi

For more information on gastric sleeve surgery, please go our website at 360Sleeve.com . Link in our bio

#vsgjourney #vsgeats #wlsjourney #gastricsleevediet #gastricsleevesurgery #gastricsleevejourney
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Gastric Sleeve or Liposuction : Which is Right for You?🧐

#weightlosssurgery and #Liposuction may seem similar but this couldn’t be further from the truth. Check out this handy infographic if you find yourself wondering what procedure will best benefit you and your goals 💙

👉For more information on gastric sleeve surgery, please visit our website at 360sleeve.com or book a free consultation with our Bariatric Surgeon - 416.360.7360

👉For more information on liposuction, please visit our website at clinic360.com or book a free consultation with our Plastic Surgeon-
416.360.7360

#plasticsurgery #mommymakeover #liposuction #lipo #bbl #bodycontouring #plasticsurgeontoronto #liposuctionbeforeandafter #gastricsleevesurgery #vsgcanada #vsgcommunity
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When you're more focused on your friends than on your food! 🙌 #nonscalevictory

Do you find you've had a more meaningful social life after gastric sleeve surgery?

To learn more about weight loss surgery or to book a free consultation, please visit the link in our bio.

#gastricsleever #gastricsleevesurgery #gastricsleevecommunity #gastricsleevelife #wls #wlscommunity #vsgsurgery #vsglife #vsgfamily #nonscalevictory #weightlosssurgery #weightloss
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