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