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 6.000 bariatric surgeries were performed by our surgeon to this date. A figure that no surgeon or clinic in a region can match.
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.
• Our surgeon Almantas Maleckas is a doctor of medical science
• UK General Medical Council (GMC) certified
• He performed over 6.000 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
Follow-up after the surgery is essential. Nutrition is the most important aspect of follow-up to safely maximize weight loss and prevent weight gain. Therefore, we offer 5-year follow-up with the surgeon and UK based dietician. Deborah is a Registered dietitian and Nutrition Consultant with over 25 years of experience. 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.
An adjustable gastric band, often called the band, is a bariatric surgery which helps patients lose as much as 40 percent of their excess weight. It is a minimally invasive, reversible and adjustable procedure. Food consumption is decreased by placing a silicone device (the so called band) around the top portion of the stomach. Its tightness can be adjusted by inflation or deflation through a port that is placed subcutaneously in the stomach.
A gastric band is performed in 1 to 2 hours under general anesthesia. It is most commonly performed laparoscopically, or via keyhole surgery, since it is a fairly quicker and safer way of operating. Just a few incisions are made in the stomach area so that a surgeon can insert a laparoscope and other surgical instruments inside the abdomen. Then a gastric band is placed around the upper part of the stomach and sutured to keep it safely in place. An inflatable band divides the stomach into two parts. The upper part that has a connection to the oesophagus can temporarily store approximately one cup of food and is smaller than the lower pouch. A port that is attached to the band is placed under the skin of the abdomen so that a surgeon can access it later on and inject a saline solution. It changes the tightness of the band, and thus, the size of the passage from the upper pouch to the lower pouch of the stomach, which is important for digestion.
Gastric band procedure should be chosen when other weight loss strategies, such as exercising, diet changes, and medication, have failed to work. A qualified physician will evaluate the patient’s health and eligibility for a certain procedure and the best treatment option will be chosen. However, not every patient can qualify for gastric band surgery. Particular criteria should be met.
There are quite a few bariatric procedures to choose from. A gastric band, gastric sleeve and gastric bypass surgeries all possess certain advantages and disadvantages and vary greatly by the techniques used.
A bypass surgery, also known as a The Roux-en-Y gastric bypass, functions by changing digestive pathways and reducing absorption as well as volume of the stomach. Firstly, the stomach is divided into two pouches. The upper pouch can contain approximately 30ml of food and will function as a new stomach. Then, the small intestine is divided and a middle part of it is attached to the upper pouch (the one that connects to the oesophagus). The upper end is connected to the top portion of the divided small intestine so that the gastric and pancreatic enzymes, as well as the bile salts, can mix with the food and aid digestion.
Gastric sleeve surgery is irreversible, however, both bypass and sleeve result in more dramatic weight loss as compared to a gastric band. In addition to that, these techniques have gained more popularity in the recent years, presenting more favourable long-term results and less late complications. A gastric band, on the other hand, is reversible and less invasive, but has presented with more late complications. Recovery time and lifestyle changes are more or less similar for all three surgeries.
People who consider having gastric band surgery should be prepared for extreme dietary changes. The specific diet, which will be discussed below, should be strictly followed during the first 4 weeks after the surgery.
One of the most important aspects after gastric band surgery is post-surgery follow-ups. A patient will have the first visit after a week post-surgery and will have to visit a doctor every 4-6 weeks from then on. A physician will inject saline solution into the band through a port which was attached to a muscle wall just below the skin of the abdomen. It is extremely important for the band to be well-fitted.
Even though gastric band surgery is reversible it has one of the highest reoperation rates. Therefore, a patient should be prepared for potential additional surgery in case of the band malfunctioning. In rare cases, a band may erode into the stomach wall, get infected or slip.
Right after gastric band surgery a patient might feel sore, uncomfortable, and may feel mild pain in the region where the port was placed. The patient might also feel bloated. This is because a stomach was filled with gas so that a surgeon could have enough space to operate inside the abdomen.
Right after gastric band placement surgery, the patients might find it more comfortable to sleep in a slightly tilted position and some may prefer to sleep in their favorite armchair. The patient should be able to drive a week post-surgery if fastening the safety belt feels comfortable.
A patient should experience gradual weight loss. In order to maintain losing weight, the patient should maintain a specific diet which involves only liquid foods on the first week, blended meals on the second week and slow introduction to solid foods during the third and the fourth weeks. Participating in social life and engaging in active hobbies are also crucial aspects of the patient’s new lifestyle.
Women should avoid getting pregnant for the first 18 months following bariatric surgery. During pregnancy, the band is specifically adjusted to fulfill the needs of a mother and a developing baby.
Right after a surgery, a patient should only consume clear liquids, like water, teas, clear broth. Sugar should be avoided as it may contribute to a dumping syndrome, which is caused by a rapid influx of sugars. Coffee may worsen acid reflux, and thus, should be avoided too. Carbonated drinks should not be consumed since they cause gas formation.
On the second-week post-surgery a patient’s digestive system is still unable to handle solids, therefore, the patient should stick to dense liquids, like nutrition shakes, protein shakes, diluted broth, unsweetened milk, sugar-free yogurt, fruit juices (without any chunks). At the end of the second-week oatmeal may be introduced.
During the third and the fourth weeks, a patient should still avoid solid foods and should rather stick to unseasoned, caffeine-free, sugar-free, low-fat pureed products. Protein intake should be increased by this time. The patient may continue drinking protein shakes and introduce boiled or cooked eggs, jarred baby foods, pureed fish and avocados, hummus, mashed bananas, and other non-fibrous fruits. Remember to eat slowly and chew well.
On the fourth and fifth weeks solid foods may be added and a patient may move to three meals of soft food a day. Well-cooked chicken, fish and vegetables, sweet potatoes, low-fat dairy products, and low-sugar cereal are favorable choices. The patient should still avoid high-fat products, steaks, fibrous fruits, white potatoes, and other high-carb options. Caffeine may be reintroduced with moderation.
A gastric band is supposed to last a lifetime and is clinically tested for a long-term use. Gastric band removal surgeries are kept to a minimal; however, sometimes it might need to be replaced, adjusted or removed because of malfunctioning. In rare cases, the band might erode into the stomach wall or slip from its primary position. The band might need to be removed if the patient experiences severe adverse symptoms, like malnutrition or gastroesophageal reflux (GERL).
A gastric band surgery can help almost 80 percent of the patients. Band placement usually results in up to 50 percent loss of the excess body weight. That means if a patient is overweight by 200 pounds (~90kg) they can expect to lose as much as 80 pounds (~40kg). Weight loss results depend on patients themselves since they are directly responsible for strictly following dietary recommendations and other lifestyle changes.
The risk of complications can be reduced by choosing a well-experienced doctor and strictly following the treatment plan. Moreover, the risk is reduced significantly if a patient does not smoke and is eager to commit to a healthy lifestyle. Possible complications include:
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.