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Non-surgical Transoral Outlet Reduction (TORe) procedure

How TORe can help your patients living with obesity

Have your patients regained weight after a previous bariatric surgery? The non-surgical TORe procedure serves as a revision to a Roux-en-Y gastric bypass to reduce the size of the gastrojejunal outlet and gastric pouch opening. By bringing the connection from the stomach and small intestines back to a size that limits intake, TORe can help induce satiety – which may help lead to lasting weight loss for patients1,2.


See how TORe works

See TORe procedure product information at bottom of page.


Clinical insights

Register now to gain access to clinical tools and patient resources for TORe and other endobariatric procedures.

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Addressing a new perspective on weight loss for people with obesity

Dr. Brian Dunkin explains how endobariatric procedures can help fill the gap between lifestyle modifications and surgery – even with the growth of GLP-1 medications – for weight loss options for people living with obesity. Register to access


In-office patient education materials

Make sure your patients have the information they need on their weight loss journey.

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TORe patient brochure

For patients who have regained weight after previous bariatric surgery. Register to access

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Doctor discussion guide

Help patients prepare for their discussion on endobariatric care options. Register to access

Register now to access resources

Expand your endobariatric offerings with clinical summaries, dietary guidebooks, and patient brochures in both English and Spanish.

If you’ve previously registered for resources, go to your inbox for the confirmation email from Boston Scientific.

Endobariatric procedure reimbursement

Explore Boston Scientific’s health economics and reimbursement resources, including the Bariatric Surgical Medical Necessity Guide as well as updated information on CPT® and ICD-10 codes, physician RVUs, and Medicare national average reimbursement rates for endobariatric procedures.

EDUCARE endobariatric training*

Explore EDUCARE on-demand courses and product training on endobariatric procedures.

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Get updates

OverStitch™ Endoscopic Suturing System ESS Indications, Safety, and Warnings

OverStitch™ 2-0 Polypropylene Suture Assembly Indications, Safety, and Warnings

*As a condition of the FDA De Novo Authorization of the OverStitch NXT and OverStitch Endoscopic Suturing System for endobariatric procedures (formerly referred to as the Apollo ESG and Apollo REVISE Systems), the devices should only be used for endoscopic sleeve gastroplasty (ESG) or to enable transoral outlet reduction (TORe) as a bariatric revision procedure by gastroenterologists and surgeons who have undergone specific training by the device manufacturer. To fulfill the FDA requirement and special controls for these devices, Boston Scientific is required to independently host courses with consistent training curricula. More information regarding the referenced ESG and TORe revision procedure training courses is available through Boston Scientific.

Health economic and reimbursement information provided by Boston Scientific Corporation is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice. Boston Scientific encourages providers to submit accurate and appropriate claims for services. It is always the provider's responsibility to determine medical necessity, the proper site for delivery of any services and to submit appropriate codes, charges, and modifiers for services that are rendered. Boston Scientific recommends that you consult with your payers, reimbursement specialists and/or legal counsel regarding coding, coverage and reimbursement matters. Boston Scientific does not promote the use of its products outside their FDA-approved label.

1. Jirapinyo P, Kumar N, AlSamman MA, Thompson CC. Five-year outcomes of transoral outlet reduction for the treatment of weight regain after Roux-en-Y gastric bypass. Gastrointest Endosc. 2019;91:1067–1073.

2. Jirapinyo, et al. Seven-year Outcomes of Transoral Outlet Reduction for the Treatment of Weight Regain After Roux-en-Y Gastric Bypass. Gastrointestinal Endoscopy. 2020. Subset of patients included in study are also represented in 5-year data.

 

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

All photographs taken by Boston Scientific.