Transoral Outlet Reduction, or TORe, is a minimally invasive endoscopic procedure designed specifically for patients who have previously had Roux-en-Y gastric bypass surgery and have begun to regain weight over time. After gastric bypass, the small connection between the stomach pouch and the small intestine — called the gastrojejunal outlet — can gradually stretch. When this happens, food passes through more quickly, reducing feelings of fullness and making it easier to consume larger portions.
TORe addresses this directly. Using a flexible endoscope passed through the mouth — no incisions required — a surgeon places sutures around the outlet to reduce its diameter. This tightens the connection, slows gastric emptying, and restores the sensation of fullness that helped you succeed after your original bypass surgery.
Recovery is typically very quick. Many patients resume their normal routine within a few days. TORe is an established, evidence-based procedure that can provide meaningful, durable support for patients committed to getting back on track with their weight-loss goals.
Your care team will review the details of your original gastric bypass, your current weight trajectory, and your overall health. Imaging or endoscopy may be performed to assess the degree of outlet dilation prior to treatment. You will also receive dietary and fasting instructions to follow in the days leading up to the procedure.
TORe is performed under sedation and typically takes 30 to 60 minutes. The endoscope is guided through the mouth, past the stomach pouch, and to the gastrojejunal outlet. Sutures are then placed around the outlet opening to reduce its diameter, restoring the restriction that was present when your bypass was first performed.
Most patients are discharged the same day and able to return to normal daily activities within two to three days. You will follow a liquid and soft food progression for the first one to two weeks as the sutures heal. Our team will work with you on dietary coaching and follow-up support to help maximise your results following the procedure.
A thorough consultation with our team will confirm whether TORe is appropriate for your specific situation and what realistic outcomes you can expect.
TORe is a safe and well-tolerated procedure, but it is important that every patient has a clear understanding of the potential risks involved. We take time during your consultation to cover all of this in detail so you feel fully prepared.
Common short-term side effects include nausea, mild abdominal pain, and difficulty swallowing in the first few days as the sutures settle. Serious complications such as bleeding, suture failure, or injury to surrounding tissue are uncommon but possible, and we monitor all patients closely after the procedure.
TORe is most effective when combined with a renewed commitment to dietary habits and lifestyle changes. Sutures alone will not produce lasting results without the behavioural foundation to support them. Our team provides comprehensive follow-up support to help you build and maintain those changes.
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This tool is for general informational purposes only and is not medical advice. See your healthcare provider for personalized guidance.