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
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.
A gastric bypass is one of the techniques used in bariatric surgery and is done not only to kick-start the weight loss process, but also to prevent or treat health problems that are associated with excess weight. Even though obesity has been prevalent for ages, only recently has it been recognised as a disease of multifactorial origin. The first attempts to treat obesity for the sole purpose of weight loss began in 1950s, when jejunoileal bypasses were done to induce a state of malabsorption (a condition when nutrient absorption is impaired). Despite reaching desired weight loss results, the procedure had too many post–operative complications to be deemed successful. The gastric bypass was developed years later, in the 1960s. The surgical technique went through numerous modifications in order to decrease the number of complications and is now one of the most frequently performed bariatric surgeries worldwide.
A gastric bypass consists of two main steps:
In other words, this structure lets food bypass most of the stomach and enter into the middle part of the small intestine. Because of the small size of the stomach pouch, fewer calories are consumed, and the feeling of fullness is reached faster. Additionally, a small degree of malabsorption is caused by the food bypassing most of the stomach and a part of the small intestine. Finally, changing the route of food stream leads to a modified production of specific hormones that suppress hunger and induce the feeling of satiation. A gastric bypass is normally performed laparoscopically, i.e. via keyhole surgery, when the procedure is performed using a few small incisions rather than a large one. The choice of surgical technique varies with each individual case. The surgery itself takes up to two hours and is done under general anaesthesia.
Bariatric surgery is a suitable choice for people, who:
It is important to mention that bariatric surgery is only recommended after the patient has unsuccessfully tried to lose weight via diet and exercise.
Severe obesity is not the only requirement for weight loss surgery: one has to be in sufficient overall health to go through the operation.
Moreover, a patient must be willing to make permanent changes to their lifestyle and take part in long–term follow–ups which involve keeping track of your health, nutrition, behaviour and medical conditions.
In addition, a psychological assessment is necessary for patients considering a gastric bypass. A patient should have realistic expectations as well – even though a gastric bypass causes considerable weight loss, permanent lifestyle changes are a crucial contribution to the results and bariatric surgery should not be seen as a magic pill for weight loss.
It is also worth noting that a gastric bypass might not be the right solution to every patient, as some health conditions might indicate for another weight loss surgery method to be recommended.
A thorough assessment is needed in order to prepare for gastric bypass surgery. Patients are evaluated by a team of professionals from different medical fields: you will need input from your nutritionist as well as a psychological assessment. You might need to get an ultrasound done for your liver evaluation. Moreover, you may need a screening for coronary artery disease depending on your age and health state.
Because of the restricted amount of food and the bypassed intestine, there is a chance of various vitamin and mineral deficiency development. Because of that, you will need to take certain supplements on a daily basis, including:
Certain adjustments may be made by your surgeon or nutritionist, and later on your GP, and you should make sure to follow the instructions carefully. You should also keep in mind that you will not be able to absorb whole pills as well as you did before, and they might have difficulties passing through your digestive system during the early postoperative period. Therefore, it is recommended to crush the tablets and open the capsules or purchase your medications and supplements in liquid or chewable form for the first month after surgery.
You will have to follow a special diet after the surgery. The consistency of your food will start with liquids and purées before you will be able move on to consuming solid foods. Because of the new structure of your digestive system, you will only be able to eat in small portions. At first, you may feel nauseous or even vomit if you eat a larger portion of food. It is normally recommended not to exceed a 1000 calories per day. Nonetheless, you should make sure to consume foods that are high in protein (you should be getting a minimum of 65 to 75 grams per day). It is also recommended to avoid added sugar and foods and beverages high in sugar (especially carbonated ones). Moreover, alcohol should be avoided altogether at least the first year after surgery. In time, you will be able to add more variety and consistency to the foods in your diet. Be sure to have regular follow–ups with your nutritionist.
Dumping syndrome (also known as rapid gastric emptying) is a condition that may develop after gastric bypass surgery and occurs when food moves from your stomach into your small intestine too rapidly. The symptoms are usually present after eating and can be more intense if the meal was high in sugar. You may have dumping syndrome if you experience these symptoms 10 to 30 minutes after eating:
Furthermore, you might experience symptoms of late dumping syndrome. Because of the low blood sugar, you may sweat, feel extremely lightheaded and weak and have a rapid heart rate.
Dumping syndrome can present itself with both early and late symptoms and can develop even after years have passed after bariatric surgery. On average, dumping syndrome can affect at least 3 out of 20 people who have had part of their stomach removed. If your symptoms cannot be controlled by dietary changes, you should contact your doctor.
Your pouch is naturally due to stretch to a certain degree over time. Nonetheless, it is highly unlikely for your pouch to go back to its original size. Even though larger meals should not cause any permanent damage, you should manage your eating habits as mentioned before: avoid overeating, don’t skip meals, be aware of the habit of emotional eating and refrain from carbonated beverages. Maintaining a steady diet will ensure that you are in the best shape possible.
It is also important to take part in the follow–up appointments with your doctor, so your progress can be tracked and any type of complications are noticed as soon as possible. In addition to everything, it is sometimes suggested to join a support group, which helps bariatric surgery patients discuss the issues they face post weight loss surgery.
Due to excessive weight loss, you may be left with loose skin, usually on your abdomen, bottom, breasts, upper arms and thighs. Many people find this uncomfortable both psychologically and physically, as the loose skin can become irritated and painful. If you are bothered by excess skin, it is possible to fix it with cosmetic surgery. You should wait for at least a year or longer after your weight loss surgery to remove loose skin – it is important to reach a stable weight and make sure it does not change dramatically. If you are considering cosmetic surgery for loose skin, you should consult your doctor.
There are complications associated with any type of surgery, such as the possibility of allergies, blood clot formation (deep vein thrombosis or pulmonary embolism), bleeding or infection. However rare, more specific gastric bypass complications include:
The degree of your weight loss depends on a variety of factors including how well you keep up with your diet and exercise and your overall commitment to lifestyle changes. On average, patients lose about 70% of their excess weight. However, you should keep in mind that the average weight loss number may not apply to you – there are people who lose more or less weight.
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.