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TORe Procedure (Bariatric Revision)

Endoscopic Wellness Center of America -  - Medical Wellness

Endoscopic Wellness Center of America

Medical Wellness located in Reston, VA

Weight regain is a common issue following bariatric surgeries due to the enlargement of the gastrojejunal stoma size from the Roux-en-Y gastric bypass or the expansion of the initially reduced stomach size from the laparoscopic gastric sleeve. These anatomical changes can result in patients being able to increase their food volume and intake, causing them to regain weight over time. Surgical correction of this problem is technically challenging, requires a long procedure and hospital stay like that of the original bariatric surgery, and is even associated with a risk of fatality. Undoubtedly, weight regains after bariatric surgery can be devastating to patients, as they often feel like failures and are at a loss for where to go next. Recently, with advancements in endoscopic suturing devices, a novel approach to reduction of the outlet diameter has emerged: the Transoral Outlet Reduction Endoscopy (TORe). This minimally invasive procedure can be performed on an outpatient basis, where the gastroenterologist can bring the patient’s anatomy back to where it was when they initially had the bariatric surgery, accompanied by a highly favorable risk profile when compared to traditional revisional bariatric surgery. A multidisciplinary approach, such as the one at Endoscopic Wellness Center of America, which includes the TORe and our complimentary Wellness Program, can provide patients with an array of effective options. Individual results may vary.

TORe Procedure (Bariatric Revision) Q & A

Why do I need a bariatric revision?

Following bariatric surgeries, such as the Roux-En-Y gastric bypass and the laparoscopic gastric sleeve, it is very common for individuals to regain weight through stretching the stomach over time due to overeating. This results in increased weight gain or even regaining the weight that was initially lost following the l surgery. 

Bariatric revisions serve to bring the patient’s stomach and anatomy back to where they were following their original bariatric surgery. In combination with our complimentary Wellness Program, patients will learn how to lose weight while learning how to maintain their weight long after the procedure is done through gradually adopting healthy eating and lifestyle habits.

Individual results may vary.

What happens during a bariatric revision?

At Endoscopic Wellness Center of America, you will meet with a skilled, board-certified gastroenterologist, who will be performing your bariatric revision that is completely personalized to your needs. This procedure is performed under general anesthesia and lasts roughly 45 minutes. During your bariatric revision, the gastroenterologist will reduce the outlet opening through suturing with the Apollo Overstitch Device, bringing your stomach’s anatomy back to where it was when you had your original bariatric surgery.

The team at Endoscopic Wellness Center of America will counsel you throughout every part of your preoperative and postoperative stages, so you have the support you need while fully understanding what to expect. Patients are discharged the same day as their procedure. 

How long is the recovery after a bariatric revision?

Compared to the recovery for typical bariatric surgeries, which lasts up to a month and requires an inpatient hospital stay, the average recovery period for these bariatric revisions is much shorter, averaging about 5-6 days. This may vary from patient to patient. Patients will return home the same day as their procedure. 

Both prior to and following the procedure, the team at Endoscopic Wellness Center of America will spend time coaching you on nutritional wellness by educating you on which foods to eat, which foods to avoid, and how to plan your meals to best achieve your weight loss goals. Their goal is to ensure your bariatric revision is successful with long-lasting results. 

If you would like to learn more, please feel free to request a consultation for a bariatric revision at Endoscopic Wellness Center of America today. You may also call the practice to speak with a team member directly. 

Individual results may vary.