Gastric Plication Abroad: Lithuania

We are one of the leading bariatric surgery clinics for medical tourists in the European Union. We are proud of the fact that over 90 % of our patients come from the UK, Ireland, Norway, Sweden, Denmark, Germany, Switzerland and other countries.

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bariatric surgeries performed

One of the most experienced private bariatric clinic teams in Europe. More than 7.000 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.

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Refund for EU patients

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. 

Bariatric Team
5-year follow up with dietitian

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.

11 reasons that make us the most popular bariatric clinic abroad

Our team of 3 bariatric surgeons has 15-20 years of experience in the field in total performing over 500 different bariatric surgeries per year. Moreover, our surgeons are members of various prestigious surgical societies both Lithuanian and international. Our leading bariatric surgeon Dr Almantas Maleckas has performed more than 7.000 bariatric surgeries. He is fluent in four languages, among which English and Swedish. The surgeon has been regularly working in Sweden for over 15 years. Dr Maleckas is a pioneer of laparoscopic surgery in Eastern Europe and has trained many other bariatric surgeons in the region.

We are one of the leading bariatric surgery clinics for medical tourists in the European Union. We are proud of the fact that over 90 % of our patients come from the UK, Ireland, Norway, Sweden, Denmark, Germany, Switzerland and other countries.

We are trusted by our patients and we appreciate all the reviews and feedback collected over the years. Find testimonials here or on Google. 

Already more than 5.000 of our former, current and future patients joined our online community with the aim to build a space for opinions and mutual support. Members are welcome to share experiences about their visit to the clinic and to discuss all surgery-related matters. 

We offer a 5-year follow-up which includes being able to get in touch with our Lithuanian dietitian Karolina. She is consulting patients after surgery and is available upon request to answer postoperative nutritional questions for five years after surgery.

Our clinic or patients are seen on different media mentions like: BBCTelegraphMirror.

Our clinic is the only clinic that has developed its 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.

Our clinic works according to the highest standards set by the European Union. This helps to guarantee the quality of medical services. We care about the safety, comfort and successful results of our patients from all over the world. 

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. 

We provide customer service in 9 foreign languages including English, Swedish, Norwegian, Danish, Italian, Spanish, French, Russian, Polish. Everyone in our clinic speaks English, including nurses, assistants and the surgeon.

Combining different plastic surgery procedures to offer optimal treatment for post-bariatric patients has been our plastic surgery department’s specialisation for many years now. We have performed such surgeries for more than 10.000 patients to this date. Since weight loss patients often require multiple surgical procedures to address excess skin, surgery planning and surgeons’ experience are very important. We carefully select patients, evaluate each case individually, and only agree to combine surgeries within health & safety limits. Our team of 9 plastic surgeons performs more than 3.000 plastic operations a year, a number that no other clinic in Central & Eastern Europe can match.

Special bariatric app for your mobile phone
  • Created by Nordbariatric clinic
  • Special bariatric diet recommendations based on a particular product, a patient’s gender, time after surgery and other factors
  • Available in 6 languages
  • Available on iOS as well as Android.
  • To this date the app was downloaded more than 100.000 times!
  • Read more
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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Our clinic
Self-catered accommodation with medical care
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?
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FAQ: What is sleeve gastroplasty (POSE) procedure
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FAQ: Would gastric balloon be helpful if you are overweight?
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FAQ: Why might the weight loss stop after bypass surgery?
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FAQ: The weight loss stops few weeks after surgery, is it normal?
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FAQ: Hunger after the weight loss surgery, is it a normal feeling?
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FAQ: Liver shrinking diet.
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FAQ: How long will I keep loosing weight after weight loss surgery?
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FAQ: Is gastric sleeve surgery less invasive and more simple surgery?
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Watch full list of interview sessions on our Youtube channel.

How does gastric plication cause weight loss?
Will gastric plication suit me?
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.

Pros and cons of Gastric Plication
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.