Anastomosis

In gastric bypass surgery, the surgeon creates an artificial connection between the small gastric pouch and the small intestine. This connection point is called anastomosis. Initially, the diameter of the anastomosis is narrow (about 10-12 mm), functioning as a "brake": food is delayed in the gastric pouch, creating a rapid sense of fullness and prolonged satiety. Over the years, due to the natural pressure of food, this ring may expand to a diameter of 20-30 mm or more. When the anastomosis is wide, the "brake" disappears - food passes directly into the intestine, satiety is lost, and the weight begins to increase. The TORe procedure is intended to restore the anastomosis to its original, narrower size.