Factors Associated with Weight Loss After Endoscopic Transoral Outlet Reduction (TORe)

Area of Science:

• Bariatric surgery
• Endoscopic procedures
• Weight management

Background:

• Endoscopic transoral outlet reduction (TORe) is a viable option for weight regain post-Roux-en-Y Gastric Bypass (RYGB).
• Predictors of successful weight loss following TORe require further elucidation.

Purpose of the Study:

• To investigate procedural and patient factors influencing percent total body weight loss (%TBWL) after TORe.
• To identify key variables associated with weight loss outcomes in patients undergoing TORe.

Main Methods:

• Retrospective cohort study of 51 patients who underwent TORe.
• Primary outcomes: %TBWL at 6 and 12 months.
• Evaluated procedural factors: suture pattern, gastric pouch sutures, anastomosis diameter, and pouch length.

Main Results:

• Weight loss averaged 11.3% at 6 months and 12.2% at 12 months.
• Increased pouch length and number of sutures correlated with %TBWL.
• Depression was negatively associated with %TBWL.

Conclusions:

• Pouch length and suture count are significant procedural factors for weight loss after TORe.
• Patient factors, such as depression, can negatively impact weight loss outcomes.
• Further research is warranted to fully understand the multifactorial nature of TORe success.