Endoloop-Assisted Transoral Outlet Reduction As a Novel And Cost-Effective Treatment for Weight Regain After Roux-En-Y Gastric Bypass

Abstract Text Herein, we first describe “endoloop-assisted transoral outlet reduction (e-TORe)”, a novel technique using readily available, non-technically demanding, and economical accessories for a 36-year-old male who developed 25.96% weight regain from nadir after Roux-en-Y gastric bypass (RYGB). After ablated with argon plasma coagulation, the gastrojejunal anastomosis (GJA) was fixed circumferentially using an endoloop and 8-10 hemoclips. The endoloop was then tightened over a 6-mm balloon. At 3-month, GJA remained strictured and the patient achieved 10.5% total weight loss. e-TORe is a safe and effective endoscopic procedure for post-RYGB patients with weight regain.

Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publication History

Article published online:
14 April 2023