Transoral outlet reduction (TORe) is a minimally invasive procedure performed by Dr. Chad Carlton to help you lose weight if you’ve regained weight after gastric bypass. It tightens the gastric outlet to reduce its size without external incisions, promoting long-term weight loss and health improvements.
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Continue Losing Weight (Again) After Gastric Bypass
Transoral outlet reduction (TORe) is a minimally invasive procedure for patients who have regained weight after gastric bypass surgery. Performed by Dr. Carlton, TORe tightens the enlarged gastric outlet—the opening between the stomach pouch and the small intestine—using an endoscope and sutures. This procedure reduces the size of the outlet, which slows down food passage and helps you feel full longer. TORe requires no external incisions and typically takes less than an hour, offering a safe and effective solution for sustained weight loss.
Benefits of Transoral Outlet Reduction (TORe):
- Minimally invasive, requiring no external incisions
- Leaves no abdominal scars
- Helps reduce weight regain after gastric bypass surgery
- Performed under anesthesia and typically takes less than an hour
- Recovery time is shorter compared to traditional surgery
- Can improve weight-related health conditions like sleep apnea and type 2 diabetes
- Lower risk of complications compared to open surgery
- Patients often feel fuller longer, reducing the frequency of eating
- Patients can usually resume normal activities within a few days
How Does Transoral Outlet Reduction (TORe) Work?
Transoral outlet reduction (TORe) works by tightening the enlarged gastric outlet, the opening between your stomach pouch and small intestine, which can stretch over time after gastric bypass surgery.
Using an endoscope, a thin, flexible tube inserted through your mouth, Dr. Carlton views your digestive system and places sutures to reduce the outlet’s size. This slows the passage of food from the stomach to the intestines, helping you feel full longer and reducing hunger. By decreasing the gastric outlet size, TORe supports long-term weight loss and health improvements.
Am I a Candidate For TORe?
You might be a candidate for TORe if you have regained weight after gastric bypass surgery and have an enlarged gastric outlet. This procedure is suitable if your body mass index (BMI) is 30 or higher. TORe is especially beneficial if diet and lifestyle changes haven’t restarted your weight loss. Additionally, you should be in overall good health and able to undergo anesthesia. Consult with Dr. Carlton to determine if TORe is the right option for you based on your specific medical history and needs.
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How Much Weight Can I Lose With TORe?
With TORe, you can expect to lose a significant amount of weight, potentially reaching a weight lower than your lightest after gastric bypass surgery. On average, patients lose about 10% of their excess body weight or more. The amount of weight loss varies based on individual factors, including how much weight was regained. Long-term data shows that the weight loss achieved with TORe can be durable, helping you maintain a healthier weight and improve related health conditions over several years.
Transoral Outlet Reduction (TORe) FAQs
What Is the Recovery Process Like After TORe?
After TORe, you will stay overnight in the hospital and take a few days off work to recover. Initially, you’ll follow a special liquid diet, gradually transition to soft foods like oatmeal, bananas, and soft-cooked rice, and eventually return to normal eating. Dr. Carlton will provide detailed dietary guidelines to ensure a smooth recovery.
Are There Any Risks Associated With TORe?
While TORe is minimally invasive and generally safe, there are some risks, including mild stomach discomfort, nausea, bleeding, infection, perforation, and stenosis (narrowing) of the gastric outlet. These complications are rare, but it’s essential to discuss them with Dr. Carlton before the procedure to understand all potential risks.
What Should I Expect During the TORe Procedure?
During TORe, you’ll be under anesthesia, and Dr. Carlton will insert an endoscope through your mouth into your stomach pouch. Using a suturing device attached to the endoscope, he will place stitches to tighten the gastric outlet, reducing its size to about 8 to 10 millimeters. The procedure typically takes less than an hour, and you can go home the same day.
Are There Any Additional Health Benefits to TORe Besides Weight Loss?
Yes, TORe can lead to improvements in weight-related health conditions, such as sleep apnea, high blood pressure, type 2 diabetes, fatty liver, and dyslipidemia. These conditions may improve greatly or even resolve completely, contributing to overall health improvements.
Why Choose Dr. Carlton?
Dr. Carlton is a board-certified bariatrics and general surgeon known for his charismatic and compassionate approach to weight loss surgeries. With over 15 years of experience, he is dedicated to supporting you from your first consultation through your recovery. He is intimately involved in every aspect of your care and offers all the support you need to achieve your weight loss goals. If you’ve regained weight after gastric bypass surgery, schedule a consultation today to explore how TORe can help you achieve lasting success.
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