**9.3 TORe with OverStitch™**

Endoscopic transoral outlet reduction (TORe) is a therapeutic option for management of weight regain after RYGB. By a full thickness endoscopic suturing device (Overstitch, Apollo Endosurgery, Austin, TX) the reduction of the GJA aperture is possible.

Results: Vargas and colleagues [58] reported in a meta-analysis about 330 patients who underwent TORe procedure. The pooled weight lost at 12 months was 8.4 kg.

Complications: Overall, 14% of patients experienced nausea, 18% had pain and 8% required a repeat EGD. No serious adverse events were reported.
