Gastric bypass surgery is one of the most effective tools for long-term weight loss. However, some patients may experience weight regain months or years after their procedure. If you’ve had gastric bypass and are struggling with a return of hunger or weight gain, you’re not alone and surgery isn’t your only option.
At IBI Clinic, we offer endoscopic gastric bypass revision, a non-surgical procedure that tightens and restores the original function of your bypass to help you get back on track.
Why Does Weight Regain Happen After Gastric Bypass?
Over time, the small pouch created during gastric bypass surgery and the connection to the small intestine (called the gastrojejunal anastomosis) can stretch.
This leads to:
- Increased portion size tolerance
- Faster gastric emptying
- Return of hunger and cravings
- Reduced satiety and slower weight loss
What Is Endoscopic Revision (TORe)?
Transoral Outlet Reduction (TORe) is a minimally invasive procedure performed through the mouth using an endoscope. Importantly, no incisions or abdominal surgery are required.
During the procedure, the surgeon sutures the anastomosis and/or pouch internally. The medical team sedates the patient, keeping them comfortable throughout. Typically, the surgeon performs TORe on an outpatient basis, allowing patients to go home the same day. Furthermore, most patients return to work within 1–3 days.
By tightening the outlet and, in some cases, reducing the pouch size, TORe effectively restores the restrictive effect of your original bypass. As a result, patients benefit from improved weight control without undergoing another surgery.
Benefits of TORe at a Glance
| Feature | TORe | Surgical Revision |
|---|---|---|
| Invasive? | No | Yes |
| Incisions? | None | Yes |
| Recovery Time | 1–3 days | 2–6 weeks |
| Risk of Complications | Low | Moderate to High |
| Repeatable | Yes | Limited |
| Weight Loss | 8–15% of total body weight | Higher, with more risk |
Who Is a Good Candidate?
- Previous Roux-en-Y gastric bypass
- Experiencing weight regain (typically >10% from lowest weight)
- Enlarged outlet/pouch confirmed via endoscopy
- Motivated to restart lifestyle changes
A quick consultation and diagnostic endoscopy at IBI Clinic will determine if TORe is right for you.
What to Expect: Regain Control After Gastric-Bypass
- Evaluation & Endoscopy: First, we assess your pouch and outlet size to ensure the procedure is tailored to your needs.
- Procedure Day: Next, you undergo a 30–60 minute outpatient procedure with precision and care.
- Recovery: Then, you resume a soft diet for 1–2 weeks while your body heals.
- Support Program: Finally, we provide nutritional, behavioral, and medication support to reinforce your success.
Overall, this approach is not just a quick fix. Instead, we combine endoscopic precision with ongoing support so that you can achieve lasting results. Furthermore, each step is designed to guide you seamlessly through your weight loss journey.
Why Choose IBI Clinic for Gastric Bypass Revision?
- Board-certified endoscopists with bariatric expertise
- In-house diagnostics and imaging
- Lifestyle coaching and weight loss support
- Personalized follow-up plans for results that last
Take the Next Step
If you’re ready to regain control after weight regain from gastric bypass, endoscopic revision may be the answer.
