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Expert Weight Loss Through Lifestyle, Medication, or Minimally Invasive Bariatric Surgery

Revision & TORe

Revision

Patients who have had bariatric surgery in the past and are having issues with weight regain may benefit from a revision.

Transoral Outlet Reduction (TORe)

Some patients experience weight gain after achieving weight loss with gastric bypass. One of the reasons for this is stretching of the stomach outlet (the connection between the stomach pouch and small intestine), which can allow food to pass through too quickly and reduce the feeling of fullness.

Transoral Outlet Reduction (TORe) is a minimally invasive, non-surgical, endoscopic procedure designed specifically to help. Using an endoscope (a thin, flexible tube with a camera), sutures are placed inside the stomach to reduce the size of the outlet. This helps slow down how quickly food leaves the stomach, restoring a sense of fullness and making it easier to get back on track with weight management.

Expected Results:

On average, patients lose about 8–15% of their total body weight within 12 months after TORe. Many maintain this weight loss for several years, especially when paired with healthy nutrition, exercise, and lifestyle support.

Key Benefits of TORe:

  • No external incisions – performed entirely through the mouth
  • Outpatient procedure with quick recovery
  • Supports renewed weight loss after gastric bypass
  • Helps improve satiety and portion control

At Oneka Bariatrics, we specialize in giving patients a second chance at long-term success after gastric bypass. 

Note: TORe is not covered by insurance. It is a self-pay procedure.

Contact us today for pricing and to find out if TORe is right for you.

Conversion of sleeve to gastric bypass

If you have had a sleeve gastrectomy and are dealing with weight regain or severe reflux (GERD), you may benefit from converting your sleeve to a gastric bypass.

How the Procedure Works

The conversion involves transforming your existing sleeve into a gastric bypass. This not only reduces stomach capacity further but also reroutes part of the small intestine, enhancing weight loss and helping control appetite hormones.

Expected Benefits

  • Additional, often significant, weight loss
  • Improvement or resolution of obesity-related conditions
  • Relief from reflux or other complications of the original sleeve

Recovery

The procedure is performed minimally invasively using small incisions. Most patients can expect to return to work within two weeks, with individualized guidance from your care team.