Substantial and Sustained Weight Loss Surgery
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?
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:
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
- 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
- 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.
- Since your stomach is now smaller in size then it was before, you now feel satisfied (full) with smaller amounts of food.
- 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 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.
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.
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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.
A Glimpse into Gastric Sleeve Recovery
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
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.
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