Bariatric revision surgery abroad: Lithuania
We are one of the leading bariatric surgery clinics for medical tourists in the European Union. We are proud of the fact that over 90 % of our patients come from the UK, Ireland, Norway, Sweden, Denmark, Germany, Switzerland and other countries.
See before-after pictures
Reviews and Facebook group
Our patients and clinic in the media
Prices
Price in GBP
Price in EUR
- Gastric band to bypass (1 stage) – 6.390 £
- Gastric band to bypass (2 stages) – 6.990 £
- Gastric band removal – from 3.350 £
- Gastric bypass revision – 6.650 £
- Gastric sleeve to bypass – 5.990 £
- Gastric plication to sleeve – 6.550 £
- Gastric plication to bypass – 6.550 £
- Plastic surgery after a massive weight loss – from 580 £
Book a consultation in London with Professor Maleckas on 22-23 April here.
- accommodation with medical care – from 62 £ per night
Regular price:
- consultation with the surgeon and anaesthesiologist
- all the necessary health tests before and after the surgery
- bariatric surgery
- anaesthesia
- hospital stay (1-3 days) with 24 hours medical care
- 24/7 personal assistance during your stay
- transfers to / from the airport, hotel and clinic
- diet instructions after bariatric surgery
- FREE dietician follow-up for 5 years
Get your surgery for free by claiming a refund from your local health board. We cooperate with HSE and other health boards across the EU to help our Irish and EU patients receive a refund for their weight loss surgery in Lithuania. The clinic helps with the documents needed to claim a refund after following the EU directive route for medical treatment abroad.
Please note that the price of the surgery itself is provisional and may be accurately assessed only after the evaluation of each individual case.
The default currency at our clinic is EUR, so if you were looking at prices in GBP it may vary depending on GBP / EUR exchange rate at the moment of payment.
Things to consider when choosing a clinic and surgeon abroad:
- Is it a World-class surgeon with similar experience to ours (700 bariatric surgeries per year) ?
- Is bariatric staff available? We are one of the few clinics that has a specially trained bariatric nursing staff.
- Experience with bariatric anaesthesia? Anaesthesia of overweight patients requires skill and specialised experience, and our anesthesiologists have been specialising in bariatrics for over 15 years.
- Is it a multidisciplinary private hospital? Nordbariatric is a private clinic with modern facilities and exceptional care.
- Overall knowledge in the field? We have designed a unique bariatric mobile app. Our surgeon is the co-author of more than 40 scientific articles.
Watch Peter's gastric bypass story
Only we can offer:
One of the most experienced private bariatric clinic teams in Europe. More than 7.000 bariatric surgeries were performed by our surgeon to this date. A figure that no surgeon or clinic in a region can match.
The only clinic in Europe with a specially designed bariatric mobile app for patients after weight loss surgeries. Available in 6 languages on iOS as well as Android devices.
Refund for EU patients
Get your surgery for free by claiming a refund from your local health board. The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
Bariatric Team
- Our surgeon Almantas Maleckas is a doctor of medical science
- UK General Medical Council (GMC) certified
- He performed over 7.000 bariatric operations
- A pioneer in laparoscopic surgery in the region
- More than 15 years working experience in Sweden, Gothenburg University hospital
- Works both in Lithuania and Sweden, speaks fluent English and Swedish
- London School of Economics graduate
- Our surgeon Nerijus Kaselis is a doctor with a degree in medicine
- Member of the International Federation of Obesity
- Has been practising abdominal surgery for over 32 years, specialising in bariatric surgery for the past 18 years
- Was the first surgeon to perform various laparoscopic surgeries in Lithuania
- Works as a team lead of surgeons in complicated obesity surgeries abroad
- Has international work and study experience
- Our surgeon Linas Venclauskas has over 15 years of experience
- Specialises in minimally invasive surgery, surgical treatment of the upper gastrointestinal tract and bariatric surgery
- Associate Professor at Lithuanian University of Health Sciences
- President of the Kaunas Society of Surgeons
- A member of the European Hernia Society
- Chairman of the Lithuanian Society of Hernia Surgery
- Our surgeon Aurika Karbonskiene has over 25 years of experience as anesthesiologist
- Over 15 years of experience as a bariatric anesthesiologist
- Since 2008 – Associate Professor at Lithuanian University of Health Sciences
- Board member of Lithuanian Society of Anesthesiologists and Intensive Care Physicians
- Member of the European Society of Anesthesiology
- Researcher and coordinator at the Clinical Trial Network of European Society of Anesthesiology
- Our surgeon Almantas Maleckas is a doctor of medical science
- UK General Medical Council (GMC) certified
- He performed over 7.000 bariatric operations
- A pioneer in laparoscopic surgery in the region
- More than 15 years working experience in Sweden, Gothenburg University hospital
- Works both in Lithuania and Sweden, speaks fluent English and Swedish
- London School of Economics graduate
- Our surgeon Nerijus Kaselis is a doctor with a degree in medicine
- Member of the International Federation of Obesity
- Has been practising abdominal surgery for over 32 years, specialising in bariatric surgery for the past 18 years
- Was the first surgeon to perform various laparoscopic surgeries in Lithuania
- Works as a team lead of surgeons in complicated obesity surgeries abroad
- Has international work and study experience
- Our surgeon Linas Venclauskas has over 15 years of experience
- Specialises in minimally invasive surgery, surgical treatment of the upper gastrointestinal tract and bariatric surgery
- Associate Professor at Lithuanian University of Health Sciences
- President of the Kaunas Society of Surgeons
- A member of the European Hernia Society
- Chairman of the Lithuanian Society of Hernia Surgery
- Our surgeon Aurika Karbonskiene has over 25 years of experience as anesthesiologist
- Over 15 years of experience as a bariatric anesthesiologist
- Since 2008 – Associate Professor at Lithuanian University of Health Sciences
- Board member of Lithuanian Society of Anesthesiologists and Intensive Care Physicians
- Member of the European Society of Anesthesiology
- Researcher and coordinator at the Clinical Trial Network of European Society of Anesthesiology
5-year follow up with dietitian
Nutrition is one of the main focus after weight loss surgery to maximize weight loss and prevent weight gain. We offer a dietitian who will talk with you about the diet you’ll need to follow after surgery, explaining what types of food and how much you can eat at each meal. Karolina is a dietitian and Nutrition Consultant with a degree in the medical field. Read more about her here.
11 reasons that make us the most popular bariatric clinic abroad
Our team of 3 bariatric surgeons has 15-20 years of experience in the field in total performing over 500 different bariatric surgeries per year. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Our leading bariatric surgeon Dr Almantas Maleckas has performed more than 7.000 bariatric surgeries. He is fluent in four languages, among which English and Swedish. The surgeon has been regularly working in Sweden for over 15 years. Dr Maleckas is a pioneer of laparoscopic surgery in Eastern Europe and has trained many other bariatric surgeons in the region.
We are one of the leading bariatric surgery clinics for medical tourists in the European Union. We are proud of the fact that over 90 % of our patients come from the UK, Ireland, Norway, Sweden, Denmark, Germany, Switzerland and other countries.
We are trusted by our patients and we appreciate all the reviews and feedback collected over the years. Find testimonials here or on Google.
Already more than 5.000 of our former, current and future patients joined our online community with the aim to build a space for opinions and mutual support. Members are welcome to share experiences about their visit to the clinic and to discuss all surgery-related matters.
We offer a 5-year follow-up which includes being able to get in touch with our Lithuanian dietitian Karolina. She is consulting patients after surgery and is available upon request to answer postoperative nutritional questions for five years after surgery.
Our clinic is the only clinic that has developed its own app designed specifically for bariatric patients – Bariatric IQ. The most useful feature of this app is special bariatric diet recommendations based on a particular product, a patient’s gender, time after surgery and other factors. Such a feature has not been replicated by any other bariatric apps in the world. Read more and download the app on your IOS or Android smartphone here.
Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical services. We care about the safety, comfort and successful results of our patients from all over the world.
The clinic helps patients with the documents needed to claim a refund after following the EU directive route for medical treatment abroad. It applies to patients who are insured under the systems of one of the EU countries and may not get the surgery due to long waiting times.
We provide customer service in 9 foreign languages including English, Swedish, Norwegian, Danish, Italian, Spanish, French, Russian, Polish. Everyone in our clinic speaks English, including nurses, assistants and the surgeon.
Combining different plastic surgery procedures to offer optimal treatment for post-bariatric patients has been our plastic surgery department’s specialisation for many years now. We have performed such surgeries for more than 10.000 patients to this date. Since weight loss patients often require multiple surgical procedures to address excess skin, surgery planning and surgeons’ experience are very important. We carefully select patients, evaluate each case individually, and only agree to combine surgeries within health & safety limits. Our team of 9 plastic surgeons performs more than 3.000 plastic operations a year, a number that no other clinic in Central & Eastern Europe can match.
Special bariatric app for your mobile phone
- Created by Nordbariatric clinic
- Special bariatric diet recommendations based on a particular product, a patient’s gender, time after surgery and other factors
- Available in 6 languages
- Available on iOS as well as Android.
- To this date the app was downloaded more than 100.000 times!
- Read more
Direct flights to Lithuania
Our clinic
Self-catered accommodation with medical care
Weight loss surgery revision - why do some individuals end up putting the weight back on—regaining enough to consider another operation?
Going through a relapse is a possibility, even though not a common one, for patients who have gone through bariatric (also known as weight loss) surgery. Such cases require weight loss revision surgery to help patients either lose weight again or fix any other associated issues. There are multiple factors that may contribute to one putting the weight back on, including changes in attitudes and habits, anatomical reasons (such as one’s stomach stretching out) or specific instances of the bariatric technique losing its effect over time. Additionally, it may simply be a case of the patient’s body not responding well to the treatment. Nonetheless, sometimes revision surgery is performed due to medical complications rather than putting the weight back on: the formation of ulcers, scar tissue or problems with absorbing nutrients.
FAQ sessions with our surgeon
Watch full list of interview sessions on our Youtube channel.
Types of revision surgery. What can be done?
One of the most frequently revised bariatric surgeries is a gastric band (or a lap band), which is a way of restricting food intake by placing an adjustable silicone band around the top of the stomach. This technique reached its peak popularity a few years ago, leading to a number of patients now needing revision due to the gastric band loosening or even slipping (therefore causing unpleasant symptoms such as nausea and vomiting). In this case, revision surgery is done by way of converting to a sleeve gastrectomy (eliminating part of the stomach and shaping the rest into a tube – like structure) or a gastric bypass (forming a structure that lets food bypass most of the stomach and enter into the middle part of the small intestine). It is important to mention that the removal of the lap band itself is a vital step and should be done separately from the gastric sleeve or gastric bypass. This of course depends on the severity of the scarring and adhesions that may have developed because of the gastric band – therefore, it is usually advised to let the area heal before moving on to performing a sleeve or bypass a few months later.
Gastric sleeve revision surgery is either done due to the stomach expanding as time passes or due to the patient developing gastric reflux. There are three possible options for this patient group: conversion to a gastric bypass, conversion to a duodenal switch or redoing the gastric sleeve itself. Statistically conversion to bypass is the safest and most common option.
As with the gastric sleeve, stretching of the stomach pouch is one of the most common reasons to have revision surgery. In this case, there are four options available. The first one is placing a gastric band on the top part of the stomach to increase the restriction of food intake. Other options include a stapled reduction of the pouch (eliminating a part of the pouch and decreasing the size of the passageway to the intestines) or increase the bypass. The fourth alternative is endoscopic repair – the surgeon tightens the connection between the stomach and the intestines. However, this technique does not have a guarantee of long – lasting results.
For patients who have had gastric plication done and yet have not achieved satisfactory weight loss results or regain the weight, have two options: sleeve gastrectomy or Roux-en-Y gastric bypass.
When would I know I need revision surgery?
Besides noticing a lack of weight loss results, there are specific reasons for weight loss surgery revision:
- Your gastric pouch has stretched or has an enlarged opening;
- Your intestinal absorption of calories has increased;
- Your gastric band has loosened or slipped;
- An opening (also known as a fistula) forming between the stomach pouch and bypassed stomach;
- Leaking staple lines which cause unpleasant symptoms (abdominal and back pain, fever, rapid heart rate and so on);
- The formation of ulcers;
- Scar tissue formation which may result in closing passages in the digestive tract, causing further complications;
- Difficulties with absorbing nutrients, vitamins and minerals;
- Gastric reflux;
- Unresolved conditions and diseases related to obesity.
In addition to indications for weight loss surgery revision, such factors as when and how the original surgery was performed and initial weight loss after the surgery are taken into account when deciding whether revision surgery is necessary.
What is the recovery time for weight loss surgery?
A stay at the clinic is required after the surgery and can take up between 1 to 3 days. After leaving the clinic, you should expect to take at least a few weeks to recover and focus on maintaining a healthy lifestyle and habits. However, recovery time is individual and may vary with each case.
What kind of results can I expect after these procedures?
As with the original weight loss procedure, the results depend not only on the surgery itself, but on the patient’s commitment to changing or keeping up with healthy lifestyle habits, such as refraining from certain foods, avoiding binge – eating and maintaining exercise. There is a possibility to lose either more or less weight than after the initial bariatric surgery, hence it is important to stick to the healthy lifestyle and follow your surgeon’s recommendations carefully.
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