Weight gain is one of the main problems for most people who undergo bariatric procedures. It is difficult and traumatic for an overweight patient, who has undergone bariatric surgery, to become obese again.
One of the recommendations we make is the TORE method, an endoscopic procedure performed orally, without surgery, where the risks associated with a new operation are significantly reduced.
With this method, the capacity of the stomach is again reduced by making four folds at the strategic points where it was operated. It is a totally outpatient procedure.
The intervention lasts around 30 minutes, with anesthesia and sedation to avoid the rebound effect. It is important to highlight that follow-up will be the key and the complement to this second opportunity. The intervention continues hand in hand with nutritional monitoring, a food education program and, above all, psychological and emotional aspects that led to weight gain after the procedure.
Who qualifies? Anyone who has a body mass index greater than 30 or who has gained more than 20 pounds after bariatric, bypass, or gastric surgery, and has been unable to lose it with diet and exercise.
The TORE method is the great hope for people with weight gain after bariatric surgery. It is designed for people who have regained their weight, but also have diseases such as hypertension or diabetes. Above all, if a danger is seen in the current mobility, which threatens the patient’s comorbidity.
* Dr. Acosta Then is a bariatric endoscopist, director of the Salutte Clinic Obesity and Specialties Clinic, in Santiago de los Caballeros, Dominican Republic. She belongs to the US Bariatric Endoscopy Society and directs the “Happy Weight Without Surgery” program.
