OverStitch/TORe (transoral outlet reduction endoscopy)

Transoral Outlet Reduction (TORe) for Weight Regain After Gastric Bypass

Transoral Outlet Reduction (TORe) is a minimally invasive endoscopic procedure used to help patients who have previously had gastric bypass surgery and are experiencing weight regain or less weight loss than expected.

After gastric bypass, the stomach pouch and the connection between the stomach and small intestine (the stoma) can gradually stretch over time. This may reduce the feeling of fullness after eating and contribute to weight regain. TORe is designed to reduce the size of both the pouch and the stoma to help restore restriction.

The procedure is performed using an endoscope (a flexible tube with a camera) passed through the mouth. A specialized suturing device, known as the OverStitch™ system, is used to place sutures that tighten the enlarged areas. Because the procedure is done internally, no external incisions are required.

What to expect:

• TORe is typically performed on an outpatient basis

• Most patients return to normal daily activities within a few days

• Discomfort is generally mild and temporary

• The procedure does not involve traditional surgery

TORe is performed by gastroenterologists trained in advanced endoscopic techniques. The approach is tailored to each patient’s anatomy and medical history.

Is TORe appropriate for you?
Patients who have had gastric bypass and are concerned about weight regain or reduced effectiveness of their surgery may be candidates for TORe. A consultation with a healthcare provider is needed to review your medical history, discuss potential risks and benefits, and determine whether this procedure is appropriate for your situation.