The expert bariatric surgeon team at New York Bariatric Group is here to lead you down the path to weight loss success. We can offer you unmatched precision and care by utilizing the most advanced technology and surgical approaches available.

Some patients who have undergone gastric bypass either have not had the expected result or, over time, are once again gaining excess weight and need gastric bypass revision surgery (TORe).

What is Transoral Outlet Reduction (TORe)?

Transoral outlet reduction is a minimally invasive procedure that can help patients who have regained weight after gastric bypass surgery, which limits the amount of food you can eat and increases your feeling of fullness.

However, its effectiveness can diminish because your gastric outlet, the connection between your stomach and small bowel, will expand over time. The result makes you feel less full and able to eat more, which can cause you to regain the weight.

If you have experienced this, transoral outlet reduction can repair your gastric outlet by reducing its size and restoring the effects of feeling full with less. At New York Bariatric Group, the transoral outlet reduction in NYC is performed entirely through the mouth with no incisions for minimal discomfort and recovery.

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Transoral Outlet Reduction Procedure

You will be under anesthesia during this endoscopic procedure, which is minimally invasive, so there is less risk of complications. During TORe, the endoscope is inserted down your throat and into the stomach. The tiny camera allows your surgeon to see and insert stitches inside your stomach without cutting into your abdomen. These stitches reduce the size of the gastric outlet to its original 10-12 millimeters in diameter.

The procedure takes up to one hour, and most patients return home the same day.

Am I a Good Candidate For Transoral Outlet Reduction?

To qualify for a transoral outlet reduction, you should:

  • Have had a previous gastric bypass
  • Be 18 years of age or older
  • Have a body mass index (BMI) of 30 or higher

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What are the Benefits of Transoral Outlet Reduction?

It can be very depressing if you have undergone gastric bypass surgery, recovered from the surgery, and discovered that the surgical procedure was ineffective. And if you did achieve dramatic weight loss and slowly began to regain the weight you lost, you should take action immediately for your health.

At NYBG, we recommend the transoral outlet reduction in NYC, as an effective tool for gastric bypass patients experiencing a lengthy weight loss stall or plateau. You should feel full earlier in your meals and may continue to lose weight in the years following surgery.

The benefits of TORe specifically include the following:

  • Minimal hospital stay
  • Shorter pre-op diet
  • No incisions
  • Quick recovery
  • More extended periods of weight loss than laparoscopic revision procedures
  • No additional scarring or adhesions
  • Lower risk
  • Minimal complications
  • Less pain
  • Less time off work
  • Return to normal activities sooner
  • Least invasive revision option for gastric bypass patients
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What are the Expected Results of Transoral Outlet Reduction?

On average, 20% to 30% of gastric bypass patients experience insufficient weight loss, and almost one-third regain all the lost weight.

Doctors have found that TORe surgery provides consistent weight loss over five years. At three months, patients lost 6.69% of their total body weight. After six months, patients lost 11.34% and conserved 8.55% total weight loss by the end of the year.

Your expected weight loss can vary and depends on how much weight returned after your gastric bypass; however, many patients reach a weight lower than their lightest weight after a gastric bypass. Like other weight loss programs, a commitment to a healthier lifestyle will help to ensure long-term success and permanent weight loss after transoral outlet reduction.

Why choose NYBG For Transoral Outlet Reduction?

New York Bariatric Group was formed when four of the country’s leading weight loss surgeons decided to join together. We have grown to be a team of expert and innovative surgeons who help thousands of people achieve the weight loss success they desire. The weight loss surgeons at New York Bariatric Group are recognized in New York City as leading bariatric surgeons and are also recipients of multiple national awards and commendations.

Dr. Garber and his team are proud that they are regularly asked to train other weight loss surgeons around the country and are actively sought out for their expertise in all areas of bariatrics. At the same time, the team is using its experience to help develop new methods and bariatric surgery options.

Our record of success and caring is what sets us apart. At the New York Bariatric Group, we do everything we can to ensure a safe and comfortable surgical procedure, followed by a successful weight loss journey and a long, energetic life. Our patients consistently enjoy better results than other practices with post-procedure care and support programs, counseling, dietary assistance, fitness, and more. When you’re ready to experience an alternative to bariatric repair surgery that uses no incisions and is performed orally, contact us to learn more about transoral outlet reduction.


Lost 145lbs

Thomas' success story

I went in for surgery. An hour later, I came out a new man.

Everybody treated me like a king. The day of surgery, I was excited. The hospital couldn’t be any nicer. I went in for surgery. An hour later, I came out a new man. My recovery was awesome. I was out of bed that day. My wife and kids were my motivation on getting this surgery. They are my whole life. I’m happy I’m going to be around for them.

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Lost 76lbs

Nicole's success story

I hit my goal weight ... and I feel fabulous

I had the gastric bypass. I am Type 2 Diabetic and I wanted to gain control of my sugar. I hit my goal weight in about 5 and half months and I feel fabulous. The procedure has completely changed my life for the better because it has empowered me as a middle aged woman that I can really do everything and anything that I want to do. I don't put an age on anything. I don't say I'm too old for something.

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Lost 76lbs

Robert's success story

I was tired of the way I looked. I was tired of the way I felt.

I knew if I didn't change something soon, I was going to be in a lot of trouble. The consultation process was a lot easier than I expected. I was met with open arms. I was treated like I was the only patient here. Not only did they answer all of my questions, they had questions for me to make sure I was the right candidate for the surgery. After surgery and that weight started dropping off, my life started changing for the better.

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Lost 92lbs

Samantha's success story

I feel like a completely different person.

I had the gastric sleeve procedure. The driving factor behind me getting this procedure was my health. I didn't feel good physically or mentally. I had joint pains, even standing was difficult sometimes. Emotionally, this surgery completely turned my life around. I have so much more confidence. So much more happiness. I feel like a completely different person. I feel stronger. I feel able to accomplish more.

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Lost 99lbs

Eileen's success story

It saved my life.

The driving factor behind me getting my procedure was that I couldn't get up off the floor with my granddaughter. That was my why. That was my big reason for having this surgery done. After surgery, it was a little bit of a struggle with what to eat. What you put in your mouth that you don't even think about. You don't think about what you're eating or how you're eating and portion size. It's what I do now every single day. The procedure has changed my life in so many ways. It saved my life.

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Lost 126lbs

Brittany's success story

I am totally comfortable in my own skin.

I think I always grew up identifying myself as less than other people because I was fat. I decided to tackle that and just live my life. I had a sleeve gastrectomy. It changed how I view myself. How I communicate with people. I'm able to be much more of myself and live the life I always thought I should have been living. I am totally comfortable in my own skin. You have the tools you need to succeed here.

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Lost 157lbs

Desiree's success story

I have a brand new life. I can do things I couldn't do before.

I had a vertical sleeve gastrectomy because I had just become diabetic, and I had hypertension for many years. I lost a total of 157 pounds in 11 months. I have a brand new life. I can do things I couldn't do before. Everyone at New York Bariatric Group has been wonderful. They are kind. They are understanding. They make you feel comfortable. They will guide you every step of the way on your journey so that you can be successful.

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Note: A BMI of 30 – 34.9 or BMI 35 – 39.9 with no comorbidities qualify for lap band but is usually not covered by insurance.

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