![]() ![]() Transoral Outlet Reduction can be an effective tool for gastric bypass patients after a lengthy weight loss stall or plateau. Diet compliance and staying active are crucial in long-term weight loss success. Patients will gradually transition from liquids back to solid foods as they recover. Post-operative patients will have to follow a 4-week post-op diet as the stomach tissue heals. No eating or drinking after midnight on the night prior to the surgery. Preparation for TOReĪ one-day liquid diet (no solid food allowed) is required before undergoing the endoluminal procedure. The three common suturing patterns currently used,Īs a result, food will take longer to pass through the gastric outlet, causing the patient to stay full for longer periods between meals. Non-dissolvable polypropylene sutures reduce the gastric outlet connection to 10-12 millimeters in diameter. Similar to Endoscopic Sleeve Gastroplasty (ESG), the endo surgeon inserts a full-thickness stitching device called the Apollo Overstitch through the patient’s esophagus. Performed endoscopically through the mouth, the TORe procedure is the safest gastric bypass re-operative option as no cutting is needed. How Transoral Outlet Reduction is Performed * Patients with heart or lung issues, stroke, drug/alcohol abuse, cirrhosis, or individuals on blood-thinning medication would not be good candidates for this procedure. If the diameter of the gastric outlet is less than 1.5 cm, the surgeon will opt for another revision option. The size of the gastric outlet can also influence the bariatric procedure. The diameter of the gastric outlet must be larger than 1.5 cm. ![]() Patients may not be pregnant within 6 months before or after surgery. Gastrointestinal disease or any abnormalities in the larynx or esophagus may make the patient ineligible for surgery. Do I Qualify for Transoral Outlet Reduction?Įligible individuals must be 18 years or older and have a body mass index (BMI) of at least 30. TORe is a well-tolerated procedure to lose substantial weight after the first gastric bypass. This therapy does not require any external cuts in the abdomen as it is carried out orally via a suturing endoscopic device. Transoral Gastric Outlet Reduction (TORe) is a non-surgical procedure in which the outlet between the stomach pouch and the intestine is narrowed to restore the effectiveness of the original operation. Resizing the GJA will help manage hunger hormones and food intake. Studies have shown that an enlarged GastroJejunal Anastomosis (GJA) can directly lower the patient’s sense of satiety and escalate the likelihood of dumping syndrome. If the bypass patient no longer feels any restriction when eating food, the gastric outlet (or GastroJejunal Anastomosis) may be enlarged and TORe may be the best option. Our all-inclusive TORe packages cover everything you need when traveling to our destination. Mexico Bariatric Center® is the first-ever medical tourism center to offer Endoscopic Gastric Bypass Revision in Tijuana, Mexico. TORe offers a safe and efficient way to treat patients with weight regain after Roux-en-Y gastric bypass. Transoral Outlet Reduction (TORe) is an incision-less approach to resize the pouch without the need for demanding technical surgical challenges. The laparoscopic era revisional techniques generally have low success rates with high rates of complications. Traditionally a gastric bypass correction is performed laparoscopically by either trimming down the size of the stomach pouch (stoma), bypassing more of the intestines, or a combination of both. Revising a failed RNY gastric bypass is mechanically complex, has a high incidence of morbidity, and often leads to unsatisfying results. About one-fourth of RNY patients cannot reach ideal weight and request a second surgery. Roux-en-Y gastric bypass (RYGB) is a versatile bariatric surgery that produces long-term weight loss success for morbidly obese individuals.
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