Endoscopic Gastric Bypass Revision

GI Surgical Specialists is Southwest Florida’s first practice to offer an Endoscopic Bariatric program. Our highly specialized surgeons perform endoscopic primary (ESG, Gastric Balloon) and revisional (TORe) bariatric procedures

Resolve weight regain after gastric bypass surgery with incisionless endoscopic bypass revision or TORe in Ft. Myers

Weight regain after gastric bypass surgery can be a challenging issue for patients who have undergone this procedure. While gastric bypass is an effective method for long-term weight loss, some individuals may experience weight regain over time due to various factors. Endoscopic gastric bypass revisions, also known as the TORe procedure (formerly the ROSE), offer a noninvasive solution to address weight regain and help patients achieve sustainable weight loss once again. For some gastric bypass surgery patients, the stomach pouch and stoma created during gastric bypass surgery may stretch over time. This can reduce the feeling of satiety or fullness and allows patients to begin eating more, which can result in weight regain over time. It can also lead to dumping syndrome. Endoscopic bypass revision provides gastric bypass patients who have stopped losing or are regaining weight with an incisionless surgical revision to restore their stomach pouch to its post-gastric bypass size and reduce the size of the stoma and pouch so that weight loss can resume.


Watch a video of Dr. Siegal performing a TORe

Benefits of Endoscopic Bypass Revision

The incisionless TORe procedure offers the following benefits:

  • No scarring
  • Minimal postoperative pain
  • Outpatient procedure
  • No risk of infection
  • Reduced risk of complications
  • Cure Dumping Syndrome

What Does the TORe Procedure Entail?


Watch a video of us performing at TORe


The TORe procedure (transoral outlet reduction) is performed through the mouth while the patient is under general anesthesia. This is referred to as an endoluminal or transoral approach and eliminates external incisions required for most surgical procedures.

Using an endoscope, the surgeon is able to view the gastric pouch and connection (anastomosis) to the small intestine. Using a endoscopic suturing system, gastric bypass anatomy can be restored to it’s initial shape and size.

TORe may be performed in an Outpatient Surgery Center, Endoscopy Suite or in the hospital. Typically, most patients are discharged on the same day of their procedure, but your weight loss surgeon may require some patients to stay overnight for further observation.

Many patients report experiencing weight loss and experiencing feelings of satiety soon after undergoing endoscopic bypass revision.

While performing the procedure through the mouth reduces the risks that occur when incisions are made through the abdomen, there are still potential risks that you should be familiar with. Your weight loss surgeon will discuss all of the benefits and potential complications with you during your consultation.

Another video of a TORe procedure performed by our surgeons!


Is the Tore Procedure Right for You?

If you have experienced weight regain after gastric bypass surgery, the TORe procedure may be a viable option to consider. Schedule a consultation to chat with our surgeons!