Fig. 1
Gastric sleeve
Home the same day, for most
Gastric Bypass Surgery in Toronto
Gastric bypass: a small pouch, a new route
In a Roux-en-Y gastric bypass, the surgeon makes a small pouch at the top of the stomach and joins it to a lower loop of the small intestine. You feel full with less food, and food skips most of the stomach and the first part of the intestine. Results vary.
- PPoucha small new stomach, about the size of an egg
- RRoux limbthe loop of intestine that carries food from the pouch
- YY connectionwhere food meets the digestive juices, further down
Six steps, a new route
Scroll through the operation the way your surgeon explains it: a small pouch, then a new route for food through the intestine. Scroll back to see any step again.
Fig. 2, Gastric bypass - 01
Your stomach today
A J-shaped muscular bag. Food passes into the duodenum, where bile and digestive juices join it.
- 02
Five small incisions
Under general anesthesia, small ports are placed in the upper abdomen. No large cut.
- 03
A small pouch
Staples divide the top of the stomach into a small pouch, about the size of an egg. The rest of the stomach stays in place, unused.
- 04
The Roux limb
The small intestine is divided, and its lower part, the Roux limb, is brought up and joined to the pouch.
- 05
The old stomach stays
The bypassed stomach and the first part of the intestine stay in place. Their digestive juices join the food further down.
- 06
The new path
Food goes from the pouch straight into the Roux limb, so most people feel full sooner.
A simplified 3D illustration for education, built from anatomical proportions. Your surgeon explains what applies to you.
Sleeve or bypass?
Both work on the stomach. What differs is the intestine, reflux, and what that means for the years after.
Gastric sleeveGastric bypass
The stomach
Made into a narrow sleeve, about 80% removed
A small pouch; the rest stays in place, unused
The intestine
Unchanged
Rerouted: food skips the first part
Reflux
Can start or get worse after a sleeve
Often suggested when reflux is already a problem
Often discussed for
A BMI of 35 or more
Reflux, type 2 diabetes or a higher BMI
Vitamins and bloodwork
Daily vitamins for life, yearly bloodwork
The same, with closer checks of iron, vitamin B12 and calcium
How it is done
Laparoscopic, five small incisions
Laparoscopic, a few small incisions
Price, taxes included
$13,900
$21,000
Which one suits you is a decision you make with your surgeon. Read the full comparison.
When a bypass is discussed
Like any weight-loss operation, a bypass usually starts from a BMI of 35 or more, or 30 to 35 with a weight-related condition. It is often discussed in these situations.
- 01Reflux or heartburnA bypass is often suggested for people who already have significant reflux.
- 02Type 2 diabetesBypassing part of the intestine can affect blood sugar more than a sleeve alone.
- 03A sleeve beforeA sleeve can sometimes be converted to a bypass, for example because of reflux.
Vitamins and checks, for life
Because food skips part of the intestine, the body absorbs less of some vitamins and minerals. Daily supplements and regular bloodwork are part of life after a bypass.
Your dietitian sets your supplements, and bloodwork at 6 months and then every year shows how you are doing. Sweet or fatty food can cause dumping: feeling sick, sweaty or shaky soon after eating. Your dietitian shows you how to avoid it, and your nurse is your first call with any question.
Six years of 360 Complete Care- B12Vitamin B12blood and nervesCloser checks
- FeIronenergyCloser checks
- CaCalciumbonesCloser checks
- DVitamin Dbones, with calciumCloser checks
- B1Thiaminenerves and energy
- B9Folateblood cells
- ZnZincskin and healing
- PProteinmuscle and healing
Four surgeons, one team
Gastric bypass at 360 Sleeve is performed by our Royal College-certified bariatric surgeons, laparoscopically, through a few small incisions. You meet your surgeon at your consultation.
360 SleeveGastric bypass, all-in price
- Your surgeonYour bariatric surgeon and the surgical teamIncluded
- AnesthesiaWith monitoring throughoutIncluded
- The surgical facilityOperating room, recovery room and nursingIncluded
- 360 Complete Care, 72 monthsFollow-ups, bloodwork, SmartTrack and 360 CommunityIncluded
- TaxesIncluded in the priceIncluded
Total, taxes included$21,000
$21,000, all in
One price, set at your consultation, with taxes included. Surgery at 360 Sleeve is private, so OHIP does not cover it.
$445a 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 the gastric bypass
What people ask before choosing a bypass. Your surgeon goes through all of it with you at your consultation.
Still wondering? , or ask the assistant in the corner.
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01What does Roux-en-Y mean?
César Roux was the surgeon who first described this kind of connection. En-Y means in a Y shape: the loop of intestine that carries food from the pouch and the part that carries the digestive juices meet in a Y, further down.
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02How is a bypass different from a sleeve?
In a sleeve, about 80% of the stomach is removed and food follows its usual route. In a bypass, a small pouch is made at the top of the stomach and joined to a lower loop of intestine, so food skips the rest of the stomach and the first part of the intestine.
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03How is a bypass different from SADI-S?
SADI-S starts with a sleeve and keeps the pylorus, with one connection to a lower loop of intestine. A bypass makes a small pouch and uses two connections, in a Y shape.
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04Will I need vitamins for life?
Yes. After a bypass, the body absorbs less iron, vitamin B12 and calcium, among others. Daily supplements and regular bloodwork are part of your plan for life, and your dietitian adjusts them with you.
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05What is dumping syndrome?
Feeling sick, sweaty, shaky or dizzy soon after sweet or fatty food, because it reaches the intestine quickly. It is more common after a bypass. Small meals, protein first and less sugar usually help. Read more about dumping.
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06Can I take anti-inflammatory painkillers after a bypass?
Anti-inflammatory painkillers such as ibuprofen and naproxen raise the risk of an ulcer at the new connection, so most people are advised to avoid them for life. Smoking raises that risk too. Your team tells you which pain relief is safe for you.
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07Can a sleeve be converted to a bypass?
Sometimes. A bypass is a common second operation after a sleeve, for example when reflux becomes a problem. Your surgeon reviews your history and your health first. About revision.
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08How long will I stay, and when can I go back to work?
Many people go home the day after surgery, once they drink well and walk comfortably. Most take 2 to 4 weeks off work, depending on how physical their job is.
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