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.
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.
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.
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.
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.
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.
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.
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.