Transoral Outlet Reduction (TORe)

Transoral outlet reduction is a non-surgical endoscopic procedure for patients who have regained weight after gastric bypass surgery. Using a small device passed through the mouth — no incisions needed — the surgeon tightens the connection between the stomach pouch and small intestine, slowing food passage and restoring the feeling of fullness. It is an outpatient procedure with a short recovery time.

Transoral outlet reduction (TORe) is an endoscopic revisional procedure performed via an endoscope inserted through the mouth, targeting weight regain after Roux-en-Y gastric bypass (RYGB). The gastrojejunal anastomosis — which commonly dilates over time, accelerating gastric emptying and reducing satiety — is reduced in diameter using full-thickness suturing devices (e.g., OverStitch). Mean excess weight loss of 8–15% at 12 months is reported in systematic reviews, with a favourable safety profile compared to surgical revision. It requires no abdominal incisions and is typically performed on an outpatient basis.

For Accord Medical patients experiencing weight regain years after bypass surgery, TORe provides a less-invasive option to get back on track without another major operation.