Fig. 1
Gastric sleeve
Home the same day, for most
Bariatric Revision Surgery in Toronto
Revision and TORe start from your history
When an earlier weight-loss procedure needs support, the plan begins with what was done and how it looks today. TORe, an endoscopic option after a gastric bypass, narrows the outlet from the inside.
Weight regain after surgery is common. A review is a starting point, not a judgment.
What did you have before?
TOReThe widened outlet is narrowed from the inside with stitches, through the mouth. No incisions.About TORe Revision surgeryIf an endoscopic option does not suit you, your surgeon explains the surgical options.What a review looks at
Options that are usually discussed. Your surgeon recommends a plan after reviewing your history.
The outlet, and why it matters
A gastric bypass joins a small pouch directly to the intestine. That connection, the outlet, can stretch over the years. Food then leaves the pouch faster, and the feeling of fullness fades sooner.
- Through the mouthA flexible endoscope reaches the pouch. No incisions.
- A ring of stitchesStitches are placed around the outlet, from the inside.
- Pulled tightTightening the ring brings the outlet back to a smaller size.
TORe, step by step
Scroll to follow the procedure in 3D: the bypass as it is today, the stretched outlet, the endoscope and the ring of stitches. Scroll back to see any step again.
Fig. 2, Revision and TORe - 01
After a gastric bypass
A bypass leaves a small pouch joined directly to the intestine. The old stomach stays in place, unused.
- 02
The outlet can stretch
Over the years the connection, the outlet, can widen. Food then passes quickly and fullness fades.
- 03
Through the mouth
TORe is endoscopic: a flexible scope passes through the mouth into the pouch. No incisions.
- 04
Stitches around the outlet
Stitches are placed in a ring around the outlet from the inside.
- 05
The outlet is narrowed
Tightening the ring brings the outlet back to a smaller size, so food leaves the pouch more slowly.
- 06
A fuller feeling again
The scope is removed. Most people go home the same day.
A simplified 3D illustration for education, built from anatomical proportions. Your surgeon explains what applies to you.
Bring your story
A revision is planned around your first surgery. These help your surgeon see the full picture; bring what you have, and do not worry about what you do not.
Tick what you have. Nothing here is saved or sent.
What your review looks at
- 01What was doneYour first procedure and how it was performed.
- 02How it looks todayAn endoscopy or imaging may be suggested to see your anatomy now.
- 03How you feelHunger, fullness, reflux, eating and your health.
- 04What you wantYour goals, and what is realistic for you.
Not a failure. A next step.
Weight regain after bariatric surgery is common, and it has many causes: how the anatomy changes over time, hormones, medications, life. A consultation looks at all of it with you, without judgment, and explains what can help now.
360 SleeveTORe, all-in price
- Your procedureYour surgeon and the surgical or endoscopy teamIncluded
- AnesthesiaWith monitoring throughoutIncluded
- The facilityProcedure or operating room, recovery and nursingIncluded
- TaxesIncluded in the priceIncluded
Total, taxes included$14,500
TORe: $14,500, all in
The price of TORe, taxes included. Other revision surgery is priced after we review your first operation, because every plan is different, and your coordinator confirms what it covers. OHIP does not cover surgery at 360 Sleeve.
$467a month at an example 9.9% APR
Financing through Beautifi or Medicard, 6 months to 6 years, no prepayment fees. The lender sets your rate after approval.
Questions about revision
What people ask when they come back for help. Your surgeon answers all of it for your own history.
Still wondering? , or ask the assistant in the corner.
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01What is TORe?
Transoral outlet reduction. An endoscopic procedure for people who had a gastric bypass: stitches placed from the inside narrow the outlet between the pouch and the intestine. There are no incisions.
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02Am I a candidate for TORe?
TORe is for people with a gastric bypass whose outlet has widened. Your team may suggest an endoscopy to look at the outlet first, then explains whether TORe suits you.
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03My first surgery was somewhere else. Can you still help?
Yes. A consultation can review a first surgery done at another clinic or hospital. Bring whatever records you have, and we take it from there.
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04Is a revision riskier than a first surgery?
Revision surgery can be more complex than a first procedure, because it works with tissue that has been operated on before. Your surgeon goes through the risks that apply to you before you decide anything.
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05How long is recovery after TORe?
TORe is endoscopic, and most people go home the same day. You follow a liquid diet first and move on in stages with your dietitian.
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06Is weight regain after surgery common?
Yes. Weight regain after bariatric surgery is common and has many causes. Looking at what changed is the start of a plan, not a judgment.
Your first step is a conversation
A free consultation, in person in North York or online. Meet the team, ask anything and leave with a clear plan and price.
(416) 360-7360 sleeve@clinic360.com 1131A Leslie St #300, Toronto, ON M3C 3L8