Gastric Plication Abroad: Lithuania

Price in GBP
Price in EUR

Gastric plication packages in our clinic:

  • Regular price – 3.190 £
  • UK dietitian package – 3.550 £ (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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Facebook reviews & group​
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.

See before-after pictures

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

Refund from NHS & HSE

The clinic helps patients with the documents needed to claim a refund from NHS & HSE for medical treatment abroad. It applies to patients who are insured under the UK and Irish systems and may not get the surgery due to long waiting times. 

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

COVID-19 situation in Lithuania

Lithuania has one of the lowest rates of COVID-19 cases in Europe. Its rate of confirmed COVID-19 cases per 100.000 residents in the last 14 days is several times lower than UK. You can read the latest COVID-19 updates here.

Direct flights to Lithuania
from UK
from UKin 2 h 30 mins
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London (London City, Stansted, Luton), Bristol, Edinburgh, Liverpool, Doncaster, Belfast
from Spain
from Spainin 3 h 30 mins
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Madrid, Barcelona, Palma de Mallorca, Alicante
from Norway
from Norwayin 1 h 30 mins
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Oslo (Sandefjord Torp, Gardemon), Bergen, Stavanger, Ålesund
from Germany
from Germanyin 2 h
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Berlin, Nurnberg, Cologne, Bremen, Dortmund, Munchen, Frankfurt
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What is a gastric plication?

Weight loss surgery is currently known as the most effective overweight and obesity management strategy. Moreover, it has been recently acclaimed as having long-lasting positive effects on patient’s metabolic properties and general well-being. Gastric plication is a relatively new and promising restrictive technique which involves folding the stomach into itself at the greater curvature in order to reduce gastric volume. It is a minimally invasive procedure since no gastric or intestinal resection is performed. Rapid and prolonged results are achieved by preserving the durable plication folds with one or two rows of nonabsorbable sutures or staples.

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.

How does gastric plication cause weight loss?

First of all, decreased gastric volume plays the most important role in post-operative weight loss. Simply put, patients need to eat less in order to feel full as there is significantly less space inside the stomach. For this reason, a new source of energy needs to be found as food may not provide enough calories anymore. The body successfully adapts to the changing nutritional habits by using excess visceral and subcutaneous fat as an alternative energy supply.

In addition to that, several studies have shown that gastric plication contributes to increased endogenous blood levels of metabolic hormones.

Will gastric plication suit me?
  • The most relevant criterion when determining one’s eligibility for the procedure is body mass index (BMI). An ideal candidate for a gastric plication is usually one who struggles with morbid obesity and its comorbid conditions, such as type 2 diabetes, high blood pressure or respiratory disorders, and have had a BMI greater than 35 for a longer period of time.
  • It is worth noting that the success of the gastric plication and its long-term outcomes entirely depend on a patient’s determination to make significant changes in one’s diet and lifestyle. Therefore, it is vitally important for a candidate to be willing to change one’s eating habits for good.
  • Last but not least, as advantageous as gastric plication may seem, a surgical approach should not be the first choice solution when trying to cope with obesity. Gastric plication is strongly recommended for those who have already made some serious non-surgical weight loss attempts and could not achieve desired results.
Recovery after gastric plication. What should I expect? How much weight can I expect to lose?

It is important to remember that recovery after gastric plication is as important as the surgery itself and, as with all weight loss surgeries, wilful changes to one‘s lifestyle and diet play a critical part in determining the long-term success of the procedure.

It takes about 4 to 6 weeks to fully recover. During that time it is absolutely normal to experience fatigue, nausea or pain in the abdominal area. It should be managed with medication that the operating surgeonhas prescribed.

It is important to stay at least minimally active even right after the surgery. Short walks and light exercises stimulate bowel movement which is especially beneficial as the whole gastrointestinal tract needs to adapt to the plication.

The main goal during the recovery time is to get used to eating again. The day after the surgery patients start drinking small amounts of unsweetened clear liquids and gradually progress to pureed foods and tougher foods later on.

During the first year after surgery morbidly obese patients with pre-operative BMI greater than 40 are expected to experience a profound weight loss with a BMI down to 30-32. On the whole, it is common for patients to lose about 30-55 % of their excess weight after gastric plication. Exercising regularly, having one’s diet balanced and staying hydrated may significantly improve and prolong the post-operative result, too.

Diet and life after gastric plication. How will it look like?

A proper diet after the surgery is crucial for recovery to be fast and smooth. It is usually divided into four main phases starting from liquids in the first phase, pureed foods in the second phase, semi-pureed foods in the third and slowly progressing to more solid foods later on.

In the first 3-5 days after the surgery the main aim is to stay adequately hydrated and ensure a sufficient protein intake. At least 1,5 liters of clear liquids, such as broth, water, herbal tea etc., should be consumed together with 50-60 grams of protein per day in the first week. Drinking fruit juice must be avoided as it contains excessive amounts of sugar which are difficult to digest and may cause pain and discomfort in the abdominal area.

After the first week of recovery patients are encouraged to slowly start advancing their diet by including some soft dairy products into their menu. After that a new product may be introduced to the diet every 2 to 5 days without stressing the stomach. It is worth remembering that alcohol consumption is prohibited for at least a year after the surgery.

Though the first weeks after plication are strictly regulated, patients easily adapt to the changes in their everyday diet later on. The main difference is observed in the amount of food one consumes daily as it is determined by the reduced gastric volume. For even better gastric plication results, patients are encouraged to eat low-fat foods, drink at least 2 liters of water daily and add more greens and fruit to their table. Finally, it is extremely important to take bariatric vitamins for at least a year after the procedure in order to compensate a possible vitamin deficiency.

Pros and cons of Gastric Plication
  • Minimally invasive procedure with very promising long-term weight loss results.
  • Positive long-lasting effect on glucose and cholesterol homeostasis as a result of induced secretion of metabolic hormones.
  • Potentially reversible procedure.
  • No major alterations to the patient’s digestive tract.
  • Relatively fast and easy recovery compared to other bariatric strategies.
  • Gastric plication is still considered to be an experimental procedure.
  • Plication reversibility is still a topic of concern.
  • Gastric plication cannot completely eliminate the risk of gastric perforation or leakage and gastric bleeding.
  • Possible occurrence of gastrogastric herniation after plication.
  • Potential long-term dilatation of the stomach due to gastrointestinal hormone imbalance and inadequate diet.
How does gastric plication compare with other weight loss surgery methods?

The best known and commonly performed bariatric surgeries are gastric bypass and sleeve gastrectomy. Both of them are categorized as restrictive surgical procedures because some major irreversible rearrangements of the digestive tract are applied. Sleeve gastrectomy is particularly popular due to its simplicity, safety and high efficacy in resolving morbid obesity which is achieved by partial excision of the gastric tissue.

It may also be potentially revised into another bariatric surgery if some undesirable results are present after the stomach is plicated. However, a rather important issue with the gastric plication is that even after being plicated, the gastric tissue keeps on producing gastrointestinal hormones and in this case the most relevant one is ghrelin. Ghrelin is a hormone that directly induces feeling of hunger and it is very important to decrease ghrelin levels so that long-term weight loss surgery could be successful.

Is it reversible?

Gastric plication is still considered to be an investigational procedure. Therefore, no indisputable answers may be given to the question about its reversibility. It has been observed that gastric plication could be easily reversed in an early post-operative period just by cutting the suture lines and releasing the mild adhesions between the layers of plication. However, after the first 6 weeks reversal becomes notably complicated as tense fibrotic tissue dissection needs to be performed in order to restore normal stomach anatomy. Reversibility of gastric plication entirely depends on a smooth tissue membrane, also known as serosa, which covers the outer surface of the stomach and has the ability to form well-established serosa-to-serosa adhesions where the gastric plications meet. Therefore, potential reversibility is rather questionable and it is determined by the time that has passed after the initial procedure.

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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