A Non-Surgical Gastric Bypass Revision
Transoral Outlet Reduction (TORe) is a minimally invasive, endoscopic procedure designed for patients who have experienced weight regain after gastric bypass surgery. TORe helps restore restriction by tightening the connection between the stomach and small intestine — without another operation.
If you previously had gastric bypass surgery and have regained weight over time, TORe may help you restart your weight loss journey safely and effectively.
What Is Transoral Outlet Reduction (TORe)?
Transoral Outlet Reduction (TORe) is a minimally invasive procedure used to treat weight regain after gastric bypass surgery. Over time, the connection between the stomach pouch and small intestine (the outlet) can stretch. When this happens, food empties too quickly and fullness decreases. During TORe, sutures are placed endoscopically to reduce the size of this outlet. This helps slow emptying and restore early fullness.
TORe is performed through the mouth with no incisions, no external scars, and no surgical revision. It offers a non-surgical option for patients looking to regain control after gastric bypass.
Is TORe Right for You?
You may be a candidate for Transoral Outlet Reduction if you:
- Previously had gastric bypass (Roux-en-Y) surgery and are experiencing weight regain
- Have a BMI between 30 and 50
- Have a stretched gastric outlet confirmed by evaluation
- Are committed to dietary and lifestyle changes
The TORe Procedure: What to Expect
Before the Procedure
Before TORe, you’ll undergo an evaluation that may include:
- Endoscopic assessment
- Review of prior surgical records
- Nutrition counseling
- Pre-procedure dietary instructions
During the Procedure
- TORe is performed using an endoscope inserted through the mouth
- Sutures are placed to tighten the gastric outlet
- No cutting or incisions are involved
- The procedure typically takes 60–90 minutes
- Anesthesia is used for comfort
After the Procedure
- TORe is usually an outpatient procedure
- Mild nausea or abdominal discomfort is common initially
- Most patients return to work and normal activities within a few days
- Your care team will provide detailed post-procedure and dietary instructions
Expected Results from TORe
When combined with nutrition and lifestyle changes, TORe can help patients achieve meaningful weight loss after gastric bypass. Individual results vary and TORe works best as part of a comprehensive weight management plan.
Results may include:
- Average weight loss of 10–12% of total body weight
- Improved portion control and satiety
- Renewed effectiveness of gastric bypass
- Durable results when supported by long-term follow-up
Life After TORe: Ongoing Support
TORe is a powerful tool, but long-term success depends on continued lifestyle changes. Our goal is to help you maintain weight loss safely and sustainably.
Your care plan will include:
- Structured post-procedure diet progression
- Nutrition counseling
- Exercise guidance
- Ongoing follow-up visits
- Access to support resources for bariatric revision patients
Why Choose Temple Health for TORe?
Temple Health offers specialized expertise in endoscopic bariatric revision procedures.
- Advanced specialists
- Experience managing complex bariatric revision cases
- Minimally invasive technology
- Convenient Philadelphia-area locations