Transoral Outlet Reduction (TORe): An Innovative Approach in Gastric Valve Treatment
Transoral Outlet Reduction (TORe) is a method used in gastric valve treatment. This method aims to correct anatomical problems that cause the gastric valve to relax and open. TORe is a non-invasive endoscopic procedure and is used in the treatment of complications after bariatric surgery such as gastric bypass and sleeve gastrectomy.
The gastric valve is a structure that controls the passage between the stomach and the esophagus. But in some cases, the gastric valve may be weak or loose, which can lead to gastroesophageal reflux disease (GERD) or other gastric valve problems. In this case, TORe therapy becomes an important option.
The importance of TORe in gastric valve treatment is that it offers a non-surgical option.
In Which Situations is the TORe Method Preferred?
The TORe method is considered as an option in the treatment of gastric valve diseases. The TORe method is preferred especially for patients who have problems caused by the laxity or opening of the gastric valve. This occurs in cases that require a controlled regulation of the passage between the esophagus and the stomach. Doctor Cihan Şahan carefully evaluates the symptoms of his patients and decides whether the TORe method is appropriate.
The TORe method can be effective in treating conditions such as chronic reflux (gastroesophageal reflux disease), esophageal stricture (esophageal stricture), or bloating (dysphagia). Doctor Cihan Şahan evaluates the symptoms of his patients and decides whether the TORe method is appropriate as a result of the necessary examinations and tests.
The Process of Identifying and Evaluating Eligible Candidates for TORe
The process of identifying and evaluating suitable candidates is important for the application of the TORe method. In this process, Doctor Cihan Şahan evaluates his patients in detail and determines suitable candidates. The following factors are taken into account in this evaluation process:
Severity of Symptoms
Doctor Cihan Şahan assesses the severity of his patients’ symptoms. The intensity of symptoms is a factor affecting the suitability of the TORe method. Patients with severe symptoms may have situations where the TORe method may be more effective.
Medical History and Test Results
The patient’s medical history is important for the applicability of the TORe method. Doctor Cihan Şahan evaluates the patient’s previous treatments and test results. This information is helpful in deciding whether the TORe method is appropriate.
Other Treatment Options
Doctor Cihan Şahan evaluates the patient’s other treatment options. The TORe method can be preferred as a non-invasive option since it is not a surgical procedure. If other treatment options have failed or are not suitable, the TORe method may be a more suitable option.
Doctor Cihan Şahan meticulously conducts the evaluation process regarding the suitability of the TORe method and ensures that his patients reach the best treatment option.
How is TORe Applied?
Before starting the TORe procedure, the patient is kept under general anesthesia. TORe is a transoral procedure. In this procedure, Doctor Cihan Şahan and his surgical team first gain access to the stomach using endoscopic equipment from the patient’s mouth. Doctor Şahan focuses on the gastric valve with the help of endoscopic imaging and plans the necessary steps for the procedure.
The TORe process follows a series of predetermined steps by Doctor Şahan.
- It is ensured that the tissues on the gastric valve that cause the narrowing are defined and determined.
- It targets these tissues using special devices and surgical instruments.
- Then, the process of cutting and removing these tissues properly is performed. These steps allow the TORe to relieve the narrowing of the gastric valve and restore normal functioning.
Working Process of TORe
The TORe process usually takes between 60 and 90 minutes. Doctor Cihan Şahan and his team closely monitor the patient’s condition during the procedure and take all necessary precautions. After the procedure is complete, the patient is kept under observation and allowed to return to normal activities after awakening.
Recovery Process After TORe Operation
Minimal Recovery Time
The TORe procedure usually offers a shorter recovery time, as it is a minimally invasive method. Compared to traditional surgical methods, patients’ return to daily activities is usually shorter. Post-procedure pain and discomfort is minimal and usually subsides within a few days. Doctor Cihan Şahan states about the minimal recovery time of TORe, that patients can usually return to their daily activities in less than a week.
After the TORe procedure, the wound healing process is fast and the patients usually start to eat normally in a short time. Dietary adjustments after surgery are determined depending on the individual condition of the patient. Doctor Cihan Şahan emphasizes that patients can recover faster if they follow the diet and nutrition plan after surgery.
Length of Hospital Stay
Compared to traditional surgical methods, the length of hospital stay of patients is significantly reduced. Typically, patients stay in the hospital the same day or overnight after the TORe procedure and are discharged later. Doctor Cihan Şahan states that patients stay in the hospital after the TORe procedure usually does not exceed one night.
The TORe method reduces the risk of infection by allowing patients to spend less time in the hospital environment. In addition, because patients feel more comfortable at home, they can complete the healing process more quickly and comfortably. Doctor Cihan Şahan states that the patients get rid of the weight of post-treatment care and recover faster, thanks to the short hospital stay after the TORe procedure.
Advantages of TORe in Surgical Treatment of Gastric Valve Diseases
Gastric valve diseases are an important problem in the digestive system. Surgical intervention has generally been the preferred option in the treatment of these diseases. However, due to some risks and invasiveness of traditional surgical methods, the search for alternative treatment options continues. At this point, the Transoral Outlet Reduction (TORe) method stands out as an important innovative approach. TORe is considered a landmark in the surgical treatment of gastric valve diseases and has many advantages.
- First, the TORe method offers a non-invasive approach. Traditional surgical interventions require invasive procedures such as incisions and sutures into the abdominal cavity. However, the TORe method does not require any external incisions or stitches as it is an oral endoscopic procedure.
- In traditional surgical interventions, there may be risks such as infection risk, bleeding and anesthesia complications. However, since the TORe method is a minimally invasive procedure, these risks are significantly reduced. Doctor Cihan Şahan states that the TORe method minimizes surgical risks and ensures that patients are treated safely.
- After traditional surgical interventions, patients often need a long recovery period and may have to stay in the hospital for a long time. However, after the TORe procedure, patients can usually return to their normal activities in a short time and the hospital stay is short. This improves the quality of life of patients and enables them to return to their daily routines quickly.
Frequently asked Questions
What is TORe?
TORe is short for Transoral Outlet Reduction. This surgical procedure aims to narrow the outlet of the stomach to slow or stop the rate of weight loss after weight loss surgery (bariatric surgery).
How long does the effect of TORe surgery last?
The effect of TORe surgery may vary from person to person. Usually, however, the rate of weight loss after surgery slows down and long-term weight control can be achieved.
Who is not suitable for TORe surgery?
TORe surgery is suitable for individuals who want to control their weight loss rate after weight loss surgery. However, it may not be suitable for every patient and may require an individual evaluation.
What is the difference between TORe surgery and other weight loss surgeries?
TORe surgery narrows the outlet of the stomach to control weight loss after weight loss surgery, while other weight loss surgeries (eg gastric bypass) promote weight loss by reducing the size of the stomach.
What are the long-term consequences of TORe surgery?
The long-term results of TORe surgery may vary from individual to individual. However, surgery often helps control weight loss and provide long-term weight control.