Anatomic relationships of Roux-en-Y gastric bypass is shown on the left. A and B. The transoral outlet reduction (TORe) endoscopy procedure. An endoscopic suturing system is used to plicate the gastrojejunal anastomosis (Before) and reduce its size to 1 cm (After), thus restoring the restrictive component of the gastric bypass. Image reprinted with permission from Endocrinology Update. Mayo Clinic. 2018;13(2):2.
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