Our patient Paul was interviewed by the largest UK broadcaster BBC One on Nolan Live show 1 month and 1 year after the surgery. He chose to travel to our clinic from Nothern Ireland to undergo bariatric surgery with Professor Maleckas. He has lost 8 stone (~50 kg). Watch interview here.
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.
• 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
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.
We proudly present the product of our clinic – Bariatric IQ mobile app, the first comprehensive and easy-to-use app specially designed to address all issues bariatric patients face before and after surgery. It is currently available in 6 languages, has a massive product database, recommendations, motivations, community and many other features. Read more
The clinic is equipped with modern diagnostic and surgical facilities compliant with all EU standards and requirements. You will be looked after by professional English speaking staff. The wards are fully furnished and equipped with TV, WC and air conditioning. Free Wi-Fi is available while staying in the clinic.
Our clinic is one of the biggest surgical centres in the Baltic region. We work with patients from various countries, among which the UK, Ireland, Norway, Sweden, Denmark, Germany, Switzerland, etc.
Despite the size of the clinic we provide our patients with personal care and assistance. The majority of big public hospitals due to high volume of patients do not have enough resources and medical personnel to pay personal attention to each patient. Whereas we are fully focused on providing exceptional care and undivided attention for our patients.
The patients are provided postoperative care at the clinic without any additional fees. Your hospital stay is approximately 2 days. However, the surgeon only discharges a patient when they are in a good health state and ready to leave.
Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical service.
Our clinic has a Facebook community of more than 2.000 bariatric patients. In this group our past and future patients share their experiences, useful recommendations and transformation photos. You may join the group here.
Once you land in Lithuania, you do not have to worry about any transportation arrangements. You will receive airport pickup/dropoff and all transfers related to your surgery, tests, consultations and followup. Our staff are always only a phone call away.
Our clinic is the only clinic which has developed their 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.
2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is part of the EU and is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new routes, therefore feel free to contact us if you need help choosing the flight that suits you best.
Everyone in our clinic speaks English, including customer service desk, nurses, assistants and the surgeon.
Our clinic operates strictly according to international standards. Therefore, contrary to most of the commercially oriented clinics in the region, we advise patients with lower BMI of non-surgical procedures. Dr Maleckas approves patients after a thorough evaluation of each case.
Bariatric surgery defines a group of surgical interventions which help people lose weight, induce remission of obesity-related diseases, and improve quality of life. A major goal of different bariatric surgeries is the reduction of excess body fat and improvement or remission of co-existing medical conditions, such as type 2 diabetes, cardiovascular diseases, sleep apnoea, osteoarthritis etc. Bariatric procedures are classified as either restrictive or malabsorptive. Restrictive procedures limit intake by creating a small gastric reservoir with a narrow outlet in order to delay emptying. Malabsorptive procedures include excising portions of small intestine where nutrient absorption occurs.
Most popular bariatric surgeries to this date are:
Obesity is a complex medical condition associated with a great variety of complications which affect most organs through different pathways. There is now considerable evidence that intentional weight loss due to bariatric surgery is linked to clinically relevant benefits for the majority of these health issues.
The most important patient selection criteria for bariatric surgery include body mass index (BMI), the presence of co-morbidities and a history of prior weight loss attempts. Bariatric surgery is advised when BMI ranges from 35 to 40 and there are obesity related conditions such as diabetes or obstructive sleep apnoea, or when BMI is 40 or greater regardless of weight related co-morbidities.
However, an individualized pre-operative assessment is a complex process involving psychological, surgical, dietetic and medical review because benefits of the procedure should outweigh the operative risk for every patient.
It is worth emphasizing that the long-term success of bariatric procedures is critically dependent on patients’ compliance. In order to properly evaluate whether a candidate could make lifelong behaviour changes necessary for sustained weight loss, one must be not only physically, but also psychologically fit to proceed with surgery.
A few pre-existing medical conditions represent absolute contraindications to bariatric surgery. Notable exceptions are unstable coronary artery disease or an advanced liver disease with portal hypertension.
A successful weight-loss outcome after bariatric surgery has been defined as a loss of at least 50% of excess weight. Significant weight loss is achieved as caloric intake is reduced by modifying the anatomy of the gastrointestinal tract. However, patients undergoing bariatric surgery often believe they will lose more weight than is consistent with clinical experience and may think that minimal personal effort or risk is involved. Studies have shown that failure to maintain weight loss at 10 years after bariatric surgery has been observed in 10% to 25% of patients who undergo this intervention. The major contributor to poor long-term outcome is non-adherence to dietary and activity recommendations. To assess motivation and predict compliance to postsurgical recommendations, it is advised for patients to lose some weight before surgery. Moreover, psychotropic medications, such as antidepressants, are considered to very likely promote weight gain in post-operative patients.
As effective as bariatric procedures are, surgical approach is just a small step forward for more balanced body proportions. Many post-operative adjustments to eating behaviour and daily physical activity routine are needed for successful weight loss and prevention of complications after surgery.
For a more profound understanding about bariatric surgery its risks should be assessed along with the significant benefits. Postoperative gastrointestinal complications of bariatric surgery are common.
Nausea and vomiting occur in more than 50% of patients undergoing restrictive procedures, partly as a result of eating too much or too rapidly but sometimes because of anastomotic stricture or other mechanical consequences of the operation.
The dumping syndrome, a complex of neurohormonally mediated symptoms that include facial flushing, lightheadedness, palpitations, fatigue, and diarrhoea, occurs in some patients after Roux-en-Y gastric bypass. Typically triggered by the ingestion of concentrated sugar, this syndrome may discourage patients from eating foods with a high sugar content, thus contributing to the beneficial effects of the operation.
Deficiencies of iron, calcium, folate, vitamin B12, and other nutrients occur after procedures with a component of malabsorption, such as gastric bypass. With the more extensive procedures, such as biliopancreatic diversion, protein malnutrition and deficiencies of the fat-soluble vitamins (A, D, E, and K) may occur. All of these deficiencies require regular monitoring and replacement.
Other gastrointestinal complications include dehydration, bowel obstruction, anastomotic leaks, strictures, erosions, ulcers, adhesions, internal and incisional hernias, and cholelithiasis.
Cardiopulmonary complications, such as myocardial infarction and pulmonary embolism, although rare, are the major causes of mortality, representing about 70 % of all perioperative deaths.
In addition, studies have shown that the most serious surgical complication of the commonly performed bariatric surgeries, such as gastric bypass, is anastomotic leakage which may potentially lead to life-threatening peritonitis.
All things considered, patients at a higher risk for perioperative and postoperative complications are males, smokers, and those with higher BMI, older age or multiple comorbidities.
Right preparation for bariatric surgery is a vital part of the procedure itself as it determines the success of the operation and the quality of recovery after it.
Although bariatric surgery is often recommended as an effective treatment for severe obesity, there is still variability in outcome. There are 3 most commonly observed factors that might adversely affect the results of a bariatric procedure: binge eating, lowered energy metabolism, and psychosocial functioning.
Binge eating behaviour, which is characterized by episodes of eating an objectively large amount of food and feelings of loss of control, may occur after the surgery and is tightly associated with weight regain through overeating. There are several patterns of eating disturbance that also often occur among post-surgery patients who have regained weight: continuous snacking, eating large quantities of sweet foods, and consuming large quantities of soft or liquid foods. In this case, patient’s determination to stay in shape plays a major role in altering one’s pre-existing eating habits.
Taking everything into account, improvement in general health status, long-term changes in eating behaviour, and psychosocial adjustment are the most important factors that define a positive outcome of a bariatric procedure. For it to be truly successful patient’s determination and wilful seek for changes are of utmost importance.
Roux-en-Y gastric bypass is often referred to as a combined restrictive–malabsorptive procedure. It involves stapling of the stomach to create a small (≤30.0 ml) upper gastric pouch. The small intestine is then divided and the distal portion (called the alimentary, or Roux, limb) is attached to the gastric pouch. The distal portion of the stomach and proximal small intestine (the biliopancreatic limb) are connected farther down the jejunum. Food comes into contact with pancreatic and biliary enzymes only below this connection site. In this way less food is eaten and not all of it can be absorbed.
Adjustable gastric banding is a restrictive procedure that involves placing a silicone implant around the top of the stomach. The inner part of this band contains a balloon that can be filled with saline at any time through a virtually painless injection though the skin, providing partial obstruction to the flow of food and allowing less food to be comfortably eaten. Food slowly passes through the band into the remainder of the stomach.
Sleeve gastrectomy is a restrictive procedure in which the stomach is transected vertically creating a gastric tube and leaving a pouch of 100 to 200 ml. The main aim of this procedure is similar to that of an adjustable band which is portion control. It is worth noting that in this case no intestinal rearrangement as in gastric bypass surgery and no foreign body placement as in adjustable gastric banding is required.
We will advise you on travel arrangements including flights to and from Lithuania. We will take care of airport pick up and drop off and arrange a pleasant stay in a comfortable hotel at a convenient location. We will be there for you 24/7 if needed.
*Please note that each case is individual and the results may vary.