For patients whose weight has returned after a gastric bypass or mini bypass. Sutures placed endoscopically tighten the stretched connection between the stomach pouch and small intestine, restoring some of the bypass's original restriction.
*Typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary. **Illustration only, based on the low end of the range with no interest. Financing is provided by a third-party lender, subject to approval.
TORe is for people whose weight has returned after a gastric bypass. An endoscope passes through the mouth, and sutures tighten the stretched connection between the stomach pouch and the small intestine, with no external incisions.
An endoscope is passed through the mouth into the stomach pouch. Nothing is cut on the outside.
Stitches placed from the inside narrow the stretched connection between the pouch and the small intestine.
A narrower outlet slows how quickly the pouch empties, so you feel full sooner and stay full longer, as the original bypass intended.
Most people are back to their usual routine within about 1 to 2 days.
If weight has returned after a gastric bypass or mini bypass, TORe tightens the stretched connection endoscopically. Other revision options are discussed at consultation.
I had a gastric bypass or (mini bypass) years ago and the weight came back.
Candidacy depends on more than BMI. Your surgeon reviews your full health history before recommending any procedure. See every BMI range
Typical recovery: about 1 to 2 days. Everyone follows a staged diet, from liquids to regular meals, with a dietitian guiding each step.
Your surgeon will walk you through the recovery plan for your procedure. How to prepare, and what recovery looks like
Every price includes your procedure, two years of follow-up and aftercare, and 3+ more years of medical, nutrition, and behavioural support. You'll get an exact quote at your consultation.
Years 3 to 5+ are support, not scheduled follow-up. All of it is included in your procedure price.
Showing 6 procedures
| Feature | ESGEndoscopic Sleeve Gastroplasty | This procedureTOReTransoral Outlet Reduction | BalloonIntragastric Balloon | LSGLaparoscopic Sleeve Gastrectomy | RYGBRoux-en-Y Gastric Bypass | SADISingle Anastomosis Duodeno-Ileal Bypass |
|---|---|---|---|---|---|---|
| How it's done | Through the mouth, sutures fold the stomach | Through the mouth, sutures tighten the bypass outlet | Through the mouth, a balloon occupies stomach space | Keyhole surgery, part of the stomach removed | Keyhole surgery, small pouch connected to the intestine | Keyhole surgery, sleeve plus one intestinal connection |
| Incisions | None | None | None | Small, 0.5 to 1.5 cm | Small, 0.5 to 1.5 cm | Small, 0.5 to 1.5 cm |
| Recovery | Back to desk work in 1 to 3 days | About 1 to 2 days | Usually same day | About 2 to 4 weeks | 2 to 4 weeks | Several weeks |
| Permanence | Long-term, can be revised | Long-term | Temporary, removed at about 6 months | Permanent | Permanent | Permanent |
| Often suits | BMI 27* to 50 (*27 to 30 with related health conditions) | Weight regain after gastric bypass | BMI 27 to 35, wants a temporary first step | BMI 30 and above | BMI 35 and above | BMI 35 and above |
| Typical weight loss | 15 to 20% | 7 to 10% | 5 to 7% | 25 to 30% | 30 to 40% | 35 to 45% |
| Price | $16,000 to $17,000 | $12,000 to $13,000 | $8,000 to $9,000 | $15,000 to $16,000 | $16,000 | $20,000 to $22,000 |
Weight-loss ranges are typical total body weight loss reported in published literature, not SmartSleeveMD outcomes data. Individual results vary. Prices are ranges; you'll get an exact quote at consultation.
TORe is for people who had a gastric bypass or mini bypass and have regained weight. It tightens the stretched connection between the stomach pouch and intestine, endoscopically and without incisions. It is considered for people at least two years out from their bypass.
Tell us early. Your care team will review nutrition, behaviour, and medication, and discuss revision options such as repeat endoscopic procedures or conversion to surgery where appropriate.
Your surgeon considers your BMI, health conditions, previous procedures, goals, and preferences. We'll recommend the option that suits you, even if that means a less invasive procedure, a less expensive one, or none at all.
A free consultation, by video or in person, with no obligation.
