Gastric Bypass abroad: Lithuania
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Gastric bypass surgery
It is the most frequently performed weight loss procedure in the United States of America.
Combined gastric bypass surgery is called “combined” because not only the size of the stomach but also the length of the gastrointestinal tract is reduced. A small pouch (15–30 ml in volume) is formed from the upper part of the stomach.
The size of the stomach is reduced by almost 90 %, therefore onetime food intake capacity decreases significantly, and the patient feels early sensation of fullness. Normally, food passes from the stomach into the small intestine which absorbs major proportion of nutrients as well as calories. The remaining food further passes into the large intestine. During the surgery, reduced stomach is connected directly to the middle part of the small intestine, thus bypassing the remaining gastric body and the upper part of the small intestine (duodenum). The procedure shortens the “path” of food through the gastrointestinal tract, and therefore less of it is absorbed. The extent of intestinal “bypass” is chosen according to patient’s BMI.
This surgery is performed under general anesthesia, using minimally invasive laparoscopic approach.
9 Reasons to choose our services OR what is inculded in the price:
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Top surgeon: over 2.000 bariatric surgeries made, has trained many other Easter European Bariatric surgeons |
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Multilingual surgeon: 4 languages, fluent in Swedish and English |
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Modern clinic: equipped with modern diagnostic and surgical facilities, all analogous to those in Western Europe clinic |
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Half the price of Western counterparts. The same materials, facilities, medical staff qualification. Price difference is only due to considerably lower average salaries and taxes |
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All inclusive price: consultation, meeting and transfers, 1st night at hotel, surgery, up to 4 days stay in clinic, pre/post operation tests, diet instruction after the surgery |
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No waiting lines while it may take up to 1 or 2 years in Western Europe clinics |
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Easy to reach: 2-3 hours regular flights from the UK, Ireland and all Scandinavian countries |
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Rehabilitation after the surgery is available at additional cost. Individual programmes are made for 2-3 weeks in famous SPA resort in Druskininikai |
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Country to discover: “Our happiest moments come when we stumble upon one thing while in pursuit of something else.” — Lawrence Block |
Prices
• Gastric bypass - 6.500€
• Gastric sleeve - 6.300€
• Gastric banding - 5.300€
Professional surgeon will help you to understand what options for weight loss surgery will be the best for you. You will be informed and fully ensured on all possible risks, considerations, pros and cons of each procedure.
Complications
Possible complications specific to gastric bypass surgery:
An anastomosis is a surgical connection between an intestine and the stomach or between two intestinal parts using special staples or sutures. Due to inappropriate healing of such connections, following complications are possible:
- Anastomotic leakage. This causes leakage of fluid from the gastrointestinal tract into the abdominal cavity and subsequent infection. Such complication occurs in 2 % cases, more often in the area of gastrointestinal anastomosis. Anastomotic leakage is usually treated with antibiotics. However, additional operation may be necessary.
- Anastomotic stricture. During the healing process of the anastomosis, scar tissue forms in that area. It normally recedes and only slightly narrows the diameter of the affected part of the gastrointestinal tract. However, in some cases excessive scarring may narrow intestinal diameter significantly and even disturb passage of liquid materials. Such condition may be corrected during a gastro-endoscopic procedure in which the stricture is dilated using a special balloon.
- Ulceration of the anastomosis. Occurs in 1–16 % cases. Causes of ulceration include insufficient circulation of the anastomosis, tension, increased gastric acidity, smoking, use of non-steroid anti-inflammatory drugs. This condition is treated conservatively – medications, special diet are used.
- Gastric dumping syndrome. If lots of carbohydrates are ingested, they pass directly into the small intestine. Subsequently, the organism secretes large amounts of fluid into the intestine to dilute excessive sugars. The patient may therefore feel abnormal heart beating, cold sweating, strange sensations in the stomach and anxiety. Such state may last for up to 45 minutes and is often accompanied by diarrhea.
- Lack of particular nutrients, minerals and vitamins. To avoid such complications, well-balanced nutrition and food supplements are highly recommended postoperatively. Hyperparathyroidism may develop due to inadequate absorption of calcium.
Efficiency
Studies show that this procedure helps patients lose from 65 % to 80 % of their overweight. Moreover, significant decrease in associated co-morbidities is observed:
- Correction of hyperlipidemia and hypertension in more than 70 % cases
- Improvement of obstructive sleep apnea
- Correction of type II diabetes mellitus in more than 90 % cases
- Recovery from gastroesophageal reflux disease
- 89 % decrease in overall mortality
Recommendations
Patient’s cooperation and correction of his / her nutritional habits is essential after restrictive adjustable gastric banding surgery as well as after combined gastric bypass surgery. From 5 to 6 meals per day are recommended, snacks should be strictly avoided. Patients should chew their food well, their bites should be small and they should stop using particular products. Non-adherence to aforementioned recommendations may cause various complications and furthermore, desired weight loss may not be achieved.
Competence
• Our surgeon is a doctor of medical science
• The surgeon is a member of World Weight Loss surgery group
• Works in Lithuania and Sweden
• Had practical courses and seminars in Germany, Greece, Switzerland.
Testimonials
.... I've tried almost every weight loss method available, I think! Last year I joined a weight club that encouraged us to live on powdered drinks as long as possible. I lost 15 kg quickly and was excited! I met my current husband and once again I began to indulge in good dinner. I gained 15 kg that I had lost before plus I put on additional 10 kg ... When I realized that the surgeon Almantas Maleckas is fluent in Swedish and has done over 1,000 gastric surgeries and is a professor of stomach / intestinal surgery and that the cost of the whole thing was about half of what it costs in Sweden, it was just a question of time for me before I landed on the operating table in Kaunas, Lithuania ... read more
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