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
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.
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.
Gastric sleeve surgery, or a laparoscopic sleeve gastrectomy, is a surgical procedure during which a part of the stomach is removed leaving the remaining part to function as a new smaller stomach. The stomach is an organ which functions as a temporary food reservoir and it also produces hormones, such as gastrin and ghrelin. Ghrelin is associated with the feeling of hunger. Therefore, the removal of a large portion of the pouch can favorably alter the hunger hormone production. After a gastric sleeve procedure a patient’s food intake is decreased and they feel full faster. It is a bariatric surgery, which helps patients to lose as much as 50 to 70 percent of their excess weight.
The history of gastric sleeve surgery might be described as an evolutionary process of prior anti-reflux surgery and gastroplasty. The first duodenal switch was performed in 1988 and it later evolved to an open gastric sleeve surgery. In 1999 the first laparoscopic gastric sleeve surgery was performed, meaning that surgeons no longer had to perform open surgeries and instead patients could be operated by making just a few incisions in the abdomen as it is mostly practiced today.
Gastric sleeve surgery is performed under general anaesthesia and takes about two hours to complete. Just a few small incisions are made in the stomach area so that a laparoscope and other surgical instruments used to perform a gastrectomy can be inserted in the abdomen. Then approximately 75 percent of a stomach is removed and the rest of the pouch is sealed using medical staples. In order to prevent any leakage after a patient starts consuming food, the staples are then manually stitched over and a fluid test is done while the patient is still on the operating table. The new stomach acquires a shape somewhat similar to a sleeve. The stomach retains all of its previous functions, therefore, food can still be digested properly. The biggest change is a significantly decreased feeling of hunger. Moreover, the patient feels full faster and can eat smaller portions of food.
Not every obese person can qualify for a gastric sleeve surgery. A qualified physician will help to determine if a patient is eligible for the procedure. However, there are certain requirements that must be fulfilled so that the patient can be approved for the surgery.
A suitable candidate for a gastric sleeve surgery is someone who tried losing weight individually through a healthy diet and exercise but found it ineffective. A patient should have a body mass index (BMI) of 35 or more. A BMI of 30 to 35 is considered sufficient for undergoing gastric sleeve surgery if a patient is present with additional medical conditions related to obesity, such as type 2 diabetes or arterial hypertension.
Bear in mind that surgery results greatly depend on a patient’s commitment to stick to a new routine and strictly follow doctor’s recommendations for a successful recovery. The right attitude towards physiological and psychological health is also undeniably important.
There are a number of possible procedures bariatric patients can choose from. Although gastric sleeve and gastric bypass procedures are similar in recovery time, possible risks and weight loss results their surgical methods differ.
After a gastric sleeve surgery as well as after a gastric bypass a patient needs approximately 2-4 weeks to recover.
Both surgeries have a chance of provoking a dumping syndrome, which is caused by the food passing through the stomach and reaching the small intestine too quickly.
On the other hand, both surgeries are very effective in achieving long-term weight loss. They can both help a patient lose more than 60 percent of their body weight in the first year after the surgery.
During a gastric sleeve surgery a surgeon removes a part of the stomach and then seals it with a platinum staple line as well as a manual stitch that prevents bleeding and leakage. During a bypass surgery stomach is divided into a small upper pouch and a large “remnant”. The smaller pouch functions as a new stomach just a significantly smaller one. Then the middle part of the small intestine is attached to that small pouch creating a bypass. When the food travels through the digestive system it bypasses most of the stomach and the first part of the small intestine, therefore, a smaller amount of food is consumed and fewer calories are obtained.
During a consultation the surgeon will evaluate each case, discuss available options and choose the procedure that best fits the patient’s needs.
During a gastric sleeve surgery three-quarters of the stomach are removed and the remaining pouch is shaped into a sleeve-like shape. Due to the extent of surgical invasion gastric sleeve cannot be reversed. The volume of the stomach pouch is reduced permanently therefore the production of hunger hormone decreases accordingly. This ensures consumption of small portions of food for the rest of one’s life, which means that weight loss will be reliable and permanent just as the surgery.
Weight loss surgery is a life-altering decision to make, therefore, a patient should be prepared psychologically as well. The treatment does not start and end with just the surgery and is rather a choice of a new way of life. Therefore, patients need to be aware of numerous lifestyle alterations which are essential for successful recovery and life-long results.
At first, the prospective patient should consult a general practitioner who will evaluate the patient’s eligibility and emotional well-being. This is an important step since obesity might result from stress or binge eating which have other treatment methods.
The risk of complications can be reduced by choosing a well-experienced doctor and strictly following a treatment plan. Moreover, the risk is reduced significantly if a patient does not smoke and is eager to commit to a healthy lifestyle. The possible complications are:
Acid reflux can develop as a result of a reduced stomach size when gastric juice leaks into oesophagus and damages the mucosal layer. Therefore, antacid medication is recommended at least the first 3 months after surgery.
Right after the surgery a patient should consume only clear liquids. Sugar should be avoided as it may contribute to a dumping syndrome, which is caused by a rapid influx of sugars. Coffee may worsen acid reflux and thus should be limited to a minimum as well. Carbonated drinks should not be consumed as they cause gas formation. While still at the clinic, the patient will be introduced to pureed food and low-fat yoghurt. Pureed diet is advised for approximately six weeks after surgery.
During this period the patient is advised to consume baby food or homemade vegetable and lean meat purees, low-fat yoghurt without chunks, protein shakes, homemade clear broth. Baked and pureed apples, peaches or pears may be introduced as a snack, but preferably consumed in the first part of the day, as fruit are high in sugars. If not enough proteins are consumed with foods, protein powder may be added to the purees. Coffee or tea intake should be limited to no more than two cups per day. Water intake should be at least 1.5 liter of still water a day. Remember to always eat slowly and chew well. Every meal should last at least 20 minutes.
When still on pureed foods, the patient should stick to unseasoned, caffeine-free, sugar-free, low-fat pureed products. Protein intake should be increased on week three. The patient may continue drinking protein shakes and introduce boiled or cooked eggs, jarred baby foods, pureed fish and avocados, hummus, mashed bananas, and other non-fibrous fruits.
After a month semi-solid foods may slowly be added and gradually transitioned into solid foods. Well-cooked chicken, fish and vegetables, sweet potatoes, low-fat dairy products, and low-sugar cereal are favorable choices, firstly roughly mashed with a fork. The patient should still avoid high-fat products, steaks, fibrous fruits, white potatoes, and other high-carb options. Caffeine should be reintroduced with moderation.
Note that the results of the procedure depend on one’s willingness to acquire and maintain healthy eating habits. From the fifth week forward the patient may introduce new foods and keep the emphasis on lean protein and vegetables. Sugary sweets and drinks should still be avoided. Learn to notice the difference between emotional binging and true hunger. Do not forget to keep hydrated.
Most often prescribed supplements are multivitamins with iron, vitamin D, vitamin B12, and calcium. Yearly control blood tests are advised to monitor the need for vitamins and supplements.
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.