The Best of ASGE Endoscopy from DDW | June 2021-TORe Tips and Tricks for Maximizing Weight Loss

Video Transcription

Video Summary

In this video, Dr. Sai Girapina discusses techniques for managing weight regain after bariatric surgery, specifically roux-en-y gastric bypass, focusing on transoral gastrointestinal reduction (TOR) procedures. She provides an overview of TOR, which is an endoscopic procedure that reduces the outlet size to treat weight regain after gastric bypass. Dr. Girapina discusses the timeline of TOR, starting with its description by Chris Thompson in 2003 and the subsequent studies that established its efficacy. She explains that there are several variations of the TOR procedure, but for the purpose of the talk, she focuses on placation TOR and suturing TOR. She provides tips and tricks for pre-procedure preparation, including stopping smoking and ordering necessary blood work. She also discusses how to determine which TOR procedure is suitable for a patient based on their anatomy. Dr. Girapina then goes on to explain the steps of the TOR procedure, including mucosal devitalization, outlet reduction, cinching, and pouch reduction. She provides tips and tricks for each step and highlights the importance of suture management. Finally, she discusses post-procedure considerations and long-term outcomes of TOR. No credits are provided in the video transcript.

Asset Subtitle

Pichamol Jirapinyo, MD, FASGE

Keywords

weight regain

bariatric surgery

roux-en-y gastric bypass

transoral gastrointestinal reduction

TOR procedures