Transoral Outlet Reduction (TORe)
Weight regain after
Bariatric surgery
Transoral Outlet Reduction (TORe)
Weight regain after
Bariatric surgery
Understanding Weight Regain After Bariatric Surgery
Bariatric surgery has become a popular option for individuals struggling with obesity. Procedures such as gastric bypass and sleeve gastrectomy can help patients achieve significant weight loss and improve their overall health. However, one of the concerns following these surgeries is the potential for weight regain. This blog post will explore the causes of weight regain after bariatric surgery, the role of procedures like Transoral Outlet Reduction (TORe), and the importance of ongoing support and lifestyle changes.
The Basics of Bariatric Surgery
Bariatric surgery encompasses various surgical procedures designed to help individuals lose weight by making changes to their digestive system. The most common types of bariatric surgery include:
Gastric Bypass:
This procedure involves creating a small pouch from the stomach and connecting it directly to the small intestine. This reduces the amount of food that can be consumed and alters the absorption of calories and nutrients.
Sleeve Gastrectomy
In this procedure, a large portion of the stomach is removed, resulting in a tube-like structure (the sleeve). This limits food intake and reduces hunger by affecting hormones related to appetite.
Endoscopic Procedures:
These include options like the ORBERA Balloon, which is placed in the stomach to promote early satiety and weight loss.
While these surgeries are effective, they are not a cure-all. Patients must commit to lifestyle changes, including dietary modifications and regular physical activity, to maintain their weight loss.
Understanding Weight Regain
Weight regain can occur for several reasons after bariatric surgery. Some common factors include:
Anatomical Changes:
Over time, the stomach pouch or sleeve may stretch, leading to increased capacity for food intake. In gastric bypass, the gastrojejunal anastomosis (the connection between the stomach and small intestine) can enlarge, which may allow patients to eat larger portions without feeling full.
Behavioral Factors:
Emotional eating, stress, and other psychological factors can lead individuals to revert to old habits. Poor dietary choices and lack of physical activity can contribute to weight regain.
Physiological Changes:
Hormonal changes after surgery can affect hunger and fullness cues, leading some patients to experience increased appetite.
Lack of Support:
After surgery, ongoing support from healthcare professionals, dietitians, and support groups is crucial. Without this support, patients may struggle to maintain their weight loss.
The Role of Transoral Outlet Reduction (TORe)
For patients who have experienced weight regain after gastric bypass or sleeve gastrectomy, Transoral Outlet Reduction (TORe) may be a viable option. TORe is a minimally invasive endoscopic procedure that helps reduce the size of the gastrojejunal anastomosis or gastric sleeve outlet.
How TORe Works
Weight Regain after Gastric Bypass (TORe)
Transoral Outlet Reduction (TORe) is an endoscopic procedure indicated for patients who have regained weight after gastric bypass
When a gastric bypass is performed, the stomach is connected to the small bowel, this connection is called gastrojejunal anastomosis or “outlet”. Over time, this outlet becomes larger and patients do not feel full, this contributes to overeating, hence they regain weight.
TORe is a simple endoscopic procedure in which the outlet is reduced to its original size placing sutures around the gastrojejunal anastomosis. These will restore the sensation of “fullness” while eating.
The procedure is very brief (approximately 30-45 minutes) compared to a complicated revisional sugery and is done under sedation (not general anesthesia).
After the procedure you will be able to go home.
The BeBetter nutritional and back to physical activity and exercise programs need to be followed to maximize weight loss
Weight Regain After Gastric Bypass (TORe)
Base TORe package
Initial consultation
Comprehensive medical and nutritional assessment
TORe procedure (including equipment, anesthesia, physician and facility fees)
Be Better post-TORe customized nutritional plan by a bariatric dietitian for 1 year (including unlimited communication via email)
Physician follow up on month: 1,3,6,9 and 12 (including unlimited communication via telephone, video call, and/or email)
Enhanced TORe package
Base TORe package plus:
Be Better back to physical activity and exercise program by a certified coach for 1 year: $500.00
90-day complication coverage insurance for up to $25,000: $510.00 (only applies in the USA)
Concierge TORe package
Lodging and transportation arrangements: We facilitate reservations with our partnered providers.
*We do not charge for accommodations or transportation services
* We do not charge a commission over the mentioned services
* Our patients can always pick a hotel or transportation service of their choosing, ours is only a suggestion.
*Patients will pay directly to the provider of each service (hotel and/or transportation)