Gastric band to gastric bypass

Price in GBP
Price in EUR

Revision packages in our clinic (regular price | UK dietitian package (recommended)):

  • Gastric band to bypass (1 stage) – 6.390 £ | 6.750 £ (recommended)
  • Gastric band to bypass (2 stages) – 6.990 £ | 7.350 £ (recommended)
  • Gastric bypass revision 6.650 £ | 6.990 £ (recommended)
  • Gastric sleeve to bypass 5.990 £ | 6.390 £ (recommended)
  • Gastric plication to sleeve – 6.550 £ | 6.890 £ (recommended)
  • Gastric plication to bypass – 6.550 £ | 6.890 £ (recommended)

Detailed pricing explanation in the next tab

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
  • 10% discount for plastic surgery later (if needed)
  • FREE dietician follow-up for 5 years (regular, not UK based)
UK dietitian package includes everything as the regular price plus:

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.
  • What is the quality of the dietitian follow-up services? We offer a 5 year follow-up with a specialised UK-based bariatric dietitian.
  • 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.
Testimonials
Sue, UK
Sue, UK
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This hospital and staff have got the whole package from collection at the airport to consultations so very friendly and professional you are put at ease from the moment you arrive. The only regret I have I wish I had done this years ago. You are up and about so quickly the staff are magnificent I felt so cared for, I now think back and wondered why I was so worried about doing this. I would highly recommend this to anyone overweight.
Lynn, UK
Lynn, UK
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I'm so pleased I went with Nordbariatric Clinic. They are such a professional, friendly & caring team. From correspondence with emails, being picked me up from the airport, taking me for tests, to my hotel & back to the airport. The hospital stay was amazing, the communication was fantastic & I had nothing to worry about. I was well looked after & they couldn't do enough for your recovery & comfort. Thank you to all the staff at Nordbariatric Clinic you are a remarkable team.
Jayne, Scotland
Jayne, Scotland
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Do not hesitate, you will be looked after from the moment you arrive at the airport. The clinic and the team are wonderful, especially Ausra and Santa, they are angels. The Professor is wonderful and will answer all your questions and put you at ease. In terms of value for money this is the top. I was worried about the quality of service by going abroad but I can honestly say I believe I have had better treatment at Nordbariatric than I would ever have got in UK.
Zoe, UK
Zoe, UK
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From the outset I was filled with confidence by the professionalism and efficiency of all the staff from Aurelija my customer service repesentative, to the other reps - Irina and Simona, the medical professionals - Dr Maleckas, the surgeon and the nurses (special mention for Ausra) who cared for me. Never been looked after better and the whole experience in Lithuania was life altering. Would I recommend them? 100%, they are fantastic and if I need further surgery in future I wouldn't hesitate to come back.
Vanessa, Spain
Vanessa, Spain
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Excellent care of each and every one of those who are part of the team! Thank you all...Doctor Maleckas, a true expert! All of the nurses great, they treat you superrr well! Thank you all!!!! And Daiva!!! You are fantastic!!! Thank you very much for everything! And I hope to see you again soon!!! A big kiss!!!
Christine, Norway
Christine, Norway
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A great clinic with a really friendly staff. They take good care of you and make you feel safe during your stay 🙂 All the uncertainty I had before I travelled, disappeared when I first met them.
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Watch videos about our clinic

As Seen on BBC

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.

Only we can offer:
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bariatric surgeries performed

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.

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our app downloads worldwide

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.

You can find FULL ALBUM of our before /after photos on our Facebook site.*

World-class surgeon

• 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

5-year follow up with UK-based dietitian

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.

Special bariatric app for your mobile phone

We proudly present the product of our clinicBariatric 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

What sets us apart from other clinics?
Dr Almantas Maleckas has performed more than 6.000 bariatric surgeries. He is fluent in four languages, among which English and Swedish. The surgeon has been regularly working in Sweden for almost 15 years. Dr Maleckas is a pioneer in laparoscopic surgery in Eastern Europe and has trained many other bariatric surgeons in the region. Read more about the surgeon here.

The clinic is equipped with modern diagnostic and surgical facilities, all analogous to those in Western European clinics. 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 Great Britain, 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 may take up to 4 days. The surgeon only discharges our patients when they are in a good health state and ready to leave. This is contrary to the majority of clinics that tend to discharge patients one day after the surgery or even on surgery day.

During your entire stay in Lithuania you will receive personal care as well as transport to and from the clinic, hotel, and airport. You will not have to worry about a thing. You will be assisted from the moment your plane lands in Vilnius or Kaunas airport till your departure.

Our clinic is flexible date-wise and can usually arrange your surgery on the date convenient for you.

Everyone in our clinic speaks English, including customer service desk, nurses, assistants and the surgeon.

Our clinic is the only clinic in Europe that offers customer service in 8 languages, among which English, Norwegian, Swedish, Danish, German, Spanish, Russian, and Lithuanian.

2-3 hour regular flights operate from all main airports in the UK & Ireland. Lithuania is closer than you thought. You can find the list of direct flights here. Please note that airlines constantly add new flights and new destinations, therefore feel free to contact us if you need help choosing the flight that suits you best.

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.

Lithuania has been a part of the EU and NATO since 2004. Lithuania has one of the fastest growing economies in the whole region and the second fastest internet speed in the world. Lithuanian medical schools have trained many medical professionals who are highly appreciated and employed by many foreign hospitals, among which hospitals in the UK.

Bariatric team

Why has my band stopped working?  

The success of a gastric band surgery depends on many factors, especially on your ability to stick to lifestyle changes. Gastric banding is considered unsuccessful if you fail to lose more than 50 %  of your excess body weight or experience complications, such as stomach stretching, heartburn, band slippage, erosion, or intolerance. Some complications can be managed non-surgically through band adjustments or patient re-education, while others may need additional surgery.

Most of the gastric band surgery complications are related to your lifestyle. If you are not losing enough weight because of poor eating habits, there is an option to be re-educated on appropriate dietary behaviors (e.g. consuming smaller portions and avoiding liquids while eating). Most of the complications after gastric band insertion are caused by overeating. Such behavior not only results in weight gain but also leads to dilated esophagus or band slippage. Sometimes gastric band malfunctioning may be linked to individual anatomical changes, such as stomach stretching or band erosion. Fortunately, the removal of the gastric band provides immediate relief of adverse symptoms and ensures further weight loss.

FAQ sessions with our surgeon
FAQ: How much weight it is normal to loose a month after surgey?
Watch video
FAQ: What is sleeve gastroplasty (POSE) procedure
Watch video
FAQ: Would gastric balloon be helpful if you are overweight?
Watch video
FAQ: Why might the weight loss stop after bypass surgery?
Watch video
FAQ: The weight loss stops few weeks after surgery, is it normal?
Watch video
FAQ: Hunger after the weight loss surgery, is it a normal feeling?
Watch video
FAQ: Liver shrinking diet.
Watch video
FAQ: How long will I keep loosing weight after weight loss surgery?
Watch video
FAQ: Is gastric sleeve surgery less invasive and more simple surgery?
Watch video
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Watch full list of interview sessions on our Youtube channel.

What are my options?

If a gastric band has failed to help you lose weight, there are two main options that you can consider.

The gastric band can be completely removed without converting into any other weight loss method. It is a relatively low-risk procedure performed laparoscopically through the same incisions made during gastric band placement. However, without conversion patients usually experience a sudden weight gain.

In order to continue with a stable weight loss, you may choose to have a revision into gastric bypass or gastric sleeve. Patients who undergo conversion surgery have the same success rates as those who choose to undergo gastric sleeve or gastric bypass in the first place.

During gastric bypass, a stomach is divided into two pouches. A bigger pouch only produces gastric juice while a smaller one processes food and connects the oesophagus to the small intestine, bypassing the duodenum (first part of the small intestine). Gastric bypass surgery results in a smaller stomach, reduces food absorption, and promotes favorable changes in appetite-regulating hormones. Additionally, gastric bypass redirects the flow of acid and bile away from the esophagus, which makes it an effective way to treat oesophageal reflux. In sleeve gastrectomy, the stomach is shaped into a tube-like structure. After the surgery, the stomach produces lower levels of hunger hormones and can also process a smaller amount of food.

As many as 80 % of all patients can have a gastric band removal and conversion procedures performed in one surgery. However, in some cases (especially when excessive scarring of the stomach and a lot of adhesions are present) it is better to wait a few months and let the stomach heal until converting into gastric bypass or gastric sleeve.

How do I prepare for surgery? What pre-op tests are needed?

If revision surgery is indicated, you will have to undergo medical tests, including a complete blood count, urine analysis, electrocardiogram (ECG), and gastroscopy, to  accurately assess your state of health. Also, there are other medical tests that might be required, such as lung or kidney function assessment. These tests are performed in order to check for possible underlying problems such as liver malfunction, high blood cholesterol levels, or the presence of excess fluid in the tissues.

Two weeks before the surgery you should stop taking blood-thinning medicines, such as aspirin or ibuprofen, and avoid consuming other blood-thinning substances (e.g. fish oil, garlic).

Keep in mind that tobacco and alcohol consumption should be ceased one month before and one year after the surgery.

There are no specific dietary recommendations for the day before the surgery apart from that you should eat lightly and avoid binge eating. Have a shower the night before your procedure. Refrain from eating or drinking anything 12 hours before the surgery.

How will my diet look like?

For a few days after your surgery you will be able to consume only liquids, such as juices, jelly, or diluted broth. Avoid carbonated and caffeinated drinks as well as drinks which are high in sugar as these can contribute to acid reflux or gas formation.

During the first two weeks post-surgery, you should transition from consuming clear drinks to more dense liquids. Your diet will consist of protein shakes, blended soups, low-calorie milk, and yogurt. You may also increase protein intake by adding powdered milk, or eggs to your soups. Drink a glass of water between your meals and take multivitamins daily.

On the third week you can begin eating very small portions of solid food, like pureed vegetables, boiled or scrambled eggs, lean mashed fish or poultry. Bread and meats which are difficult to chew should still be avoided.

During weeks four to eight you should already consume approximately 500 kcal a day. A standard meal plan consists of 5-6 small meals, measuring 1/4 cup for solid food and 1/2 for liquids. You can make slight adjustments to the menu according to your taste preferences, however, you should still avoid fibrous fruit, chewy meats, potatoes, and other foods high in carbohydrates.

Two months after the surgery your caloric intake should be increased to approximately 1000 kcal a day with at least 70 grams of protein. It is important to consume 5-6 small nutritious meals a day. By this time, you should have adopted healthy eating habits that are to stay with you for the rest of your life.

Recovery after the surgery

The recovery after revision surgery can take longer than the original weight loss surgery as it is slightly more complex. Thus, patients need to spend 1-3 nights in the hospital for close monitoring.

You may begin walking and resume usual activities, such as showering, the same day after your surgery. However, do not take baths for the first 2 weeks.

When back home, you should be able to prepare meals for yourself and do simple activities. You may need to take 3-4 weeks off from work. Feeling more tired than usual is completely normal, so take more time to rest and relax. Try to keep tiring activities to a minimum. Take pain medication as prescribed by your doctor. Resume walking in slow-pace when you feel comfortable to do so. If you were taking blood-thinning drugs before the surgery, make sure to consult your doctor about when you should resume the medication.

As for incision care, do not wear tight clothes that might rub against your bandages. It is normal for the skin around the incisions to be red or slightly bruised, however, contact your doctor if you notice significant swelling or bleeding. Change your bandages daily and keep them clean and dry. Do not use alcohol or hydrogen peroxide.

Advantages and disadvantages of gastric band conversion surgery

Advantages:

  • Revision surgery is just as effective as gastric bypass or gastric sleeve surgeries, resulting in approximately 70% of excess weight loss.
  • You will notice significant long-term weight loss and an overall improvement with weight-related health problems.
  • Revision surgery will almost instantly resolve unpleasant symptoms associated with gastric banding (vomiting, tension in the stomach, and acid reflux).
  • After a conversion to gastric bypass or gastric sleeve, your stomach will be much smaller, which will result in feeling less hungry.

Disadvantages:

  • Revision surgery possesses a higher complication risk since it involves dealing with scar tissue.
  • Hospital stay might be a day or two longer than after original weight loss surgery.
  • Gastric bypass or gastric sleeve can lead to vitamin or iron deficiencies (anemia).
Our clinic
Personal assistance in Lithuania

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.

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