About Transoral Gastric Outlet Reduction

Dr. Pleskow reviews paperwork with nurse
Photo taken pre-COVID.

Transoral outlet reduction (TORe) is a minimally invasive, endoscopic procedure that can help you if you've regained weight after gastric bypass surgery. While gastric bypass limits the amount of food you can eat and increases your feeling of fullness, its effectiveness can diminish over time. Individuals can sometimes regain weight after gastric bypass because the gastric outlet (the connection between the stomach and small bowel) expands, making you feel less full and able to eat more, which can cause you to regain weight.

TORe can repair your gastric outlet by reducing its size. During this procedure, your doctor inserts stitches into your gastric outlet through an endoscope — a flexible tube with a camera and a suturing device attached. Since this outpatient procedure is minimally invasive, it has a reduced risk of complications than conventional surgical revision of a gastric bypass.

Patients who have undergone TORe feel full earlier in their meals and may lose weight —and maintain the weight loss — in the years following the procedure. Like other weight loss programs, however, a commitment to a healthier lifestyle will help to ensure long-term success.