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WRAP Web | Waldrep WRAP | Page 4



This website presents a study by Carlos Elías Sales Puccini, MD as presented in Revista de Columbiana. Look for an English translation beginning in mid-page. The essential findings are summarized below:

Between August 2006 and August 2007 we operated 100 patients, 56 women and 44 men, aged between 15 and 64 years and body mass index between 32 and 45 kg/m2 (Table 1). The hospital stay was less than 12 hours in all cases (ambulatory surgery). There were no cases of mortality or complications such as fistulas, abscesses, bruises or other.

In telephone interviews after the patients had an intake less than 75% to 80% of regular food volume, with diminished anxiety and appetite. There was a weight loss ranging between 13 and 51 kg (or about 26 to 112 pounds), with an average of 26.44 kg (58.2 pounds), corresponding to a percentage of weight loss between 46.16% and 95.65% of initial weight, with an average of 69.61%

Some notes about these findings:

  1. It describes follow-up being performed by telephone, not within a clinic, so it is possible that the weights are reported by patients, not measured by clinicians.
  2. It does not describe how long after surgery patients were, and the degree of weight loss may be very dependant on how long someone has had a gastroplasty.
  3. Cases were performed as outpatient or same-day surgery as we always have.


This is an educational pamphlet for patients considering several types of surgery including the WRAP type gastroplasty (see page 6 of the pamphlet). We believe it is associated with Dr. Skrekas from Greece, whose important contribution to WRAP type techniques we presented in the WRAP History / WRAP Wrap Up section. It is a simple, easy to read overview of a WRAP type procedure.


This site appears to be advertising the availability of gastroplasty surgery for a clinic in Tijuana, Mexico, which reports having performed thousands of weight loss surgeries, most notably gastric banding.Some observations:The site claims:
“Gastric sleeve plication is currently performed only at two North American centers for bariatric excellence- in the U.S. (in clinical trial conditions only),…”

This claim is not correct. There are several surgeons who are performing this procedure with and without clinical trials. While many clinics advertise they have done ‘the most’, few report there case experience, such as we have on this site. We follow our own surgical technique as approved by an Independent Review Board.

“Plication is an ambulatory procedure – only 2 nights total hospital stay!”

“Ambulatory” typically means out-patient (the patient returns home from the recovery room), but here describes a “two night total hospital stay”. We provide WRAP as an outpatient procedure with patients leaving the hospital within a few hours after surgery.



This site is about Dr. George Skrekas who, we believe created one of the first sites explaining the use and benefits of gastroplasty. We cited his important professional presentation in the WRAP History / WRAP Wrap Up section. While the abstracts are presented in English, you may want to use the “translate” tool provided by your internet search engine or click try clicking here
or here


WaldrepWRAP has been fascinated by this site which was created approximately 3 months after our original WRAP website. The use of the term WRAP (in all capital letters) seems more than a coincidence, since it is an acronym for a phrase we created. This site also lists the synonyms for this technique in a similar way to our website.

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