Gastroplasty on the Internet
Although making the stomach smaller, or making it seem smaller to the brain, is the essential effect of all weight loss surgery techniques used today, the use of WRAP type gastroplasties is considered relatively new and by some, investigational. Like most new topics, there is a variety of sources of information available on the internet; some professional, some commercial, some hearsay, some factual, some biased, some misleading, some pictorial, etc.
By 2011, the modern era of weight loss surgery has been present for over a decade. It is relatively easy for a patient interested in gastric bypass or gastric banding to access some level of information about these procedures and other people’s experiences. These descriptions are available on the internet or through friends, families, co-workers, or support groups. However, information about gastroplasty procedures in 2011 is somewhat less available – for now.
In this section, you can review some currently available internet sites that promote educational and/or commercial information about WRAP type procedures (imbrication, plication, folds, in-folding, inversion, etc). Like most surgeries, there are a great deal of differences and nuances in technique between surgeons, clinics, countries, etc. These differences may involve the surgical technique, the actual anatomical landmarks used, the choice of suture or suturing technique – or, in the future, if suture is even used. These differences in practice and philosophy may not always be apparent on a particular website. Be sure to ask your surgeon about his or her unique experience, expertise, qualifications, and credentials concerning WRAP type operations.
Observational comments will be offered by this site. The sites included here have not necessarily been notified that they have been referenced here, and are include as a service for patients who are interested in a broader view than can be provided by WaldrepWRAP.com. The actual content of the links below may change without notice thereby altering the relevance and/or context of our comments. The global experience, knowledge, and views about gastroplasty are likely to change over time or at any given time. Access to some links may expire, or become restricted, or may forward to other sites, even some that have no relation to weight loss surgery. We welcome any updates, corrections, or illustration citations.
We suspect that the growth of WRAP type weight loss surgeries will outrun our ability to list all the relevant sites, but we hope this will allow you to make a decision about WRAP, one way or the other, with confidence.
Be sure to ask your surgeon about his/her experience, training, and rationale.
____________________________________________________________This site is sponsored by Ethicon EndoSurgery, a division of Johnson & Johnson, which specializes in surgical instrumentation.This site provides an excellent summary of the most significant studies up to June 2011. Remember, there are a great deal of differences and nuances in technique between surgeons, clinics, countries, etc. These differences may involve the surgical technique, the actual anatomical landmarks used, the choice of suture or suturing technique. These differences in practice and philosophy may not always be apparent on a particular website. It is not known whether these differences in technique have significant impact in weight loss, resolution, or complications.
Some significant differences in our experience include:
- We do not use a running suture, but individual hand-tied sutures as many as 2 to 3 rows of as many as 15 – 20 sutures per row. We currently feel this provides the most reliable ‘closure’, while allowing the blood flow to the folded stomach to remain intact.
- We perform our procedures on a same-day or outpatient basis; patients return home in about 1- 3 hours after surgery.
- The three studies presented represent an experience of 100 cases (Mid-East), 42 cases (South America), and 6 cases (United States; greater curve technique); we have completed several hundred cases.