Gastric sleeve to gastric bypass
Price in GBP
Price in EUR
- Gastric sleeve to bypass – 5.990 £
- Gastric band to bypass (1 stage) – 6.390 £
- Gastric band to bypass (2 stages) – 6.990 £
- Gastric bypass revision – 6.650 £
- Gastric plication to sleeve – 6.550 £
- Gastric plication to bypass – 6.550 £
- Plastic surgery after a massive weight loss – from 580 £
Book a consultations with Prof. Almantas Maleckas in London on February 3-4
- accommodation with medical care – from 58 £ per night
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)
- 5-year follow-up with our UK-based specialist dietitian, providing both online and face-to-face consultations after bariatric surgery.
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
Reviews and Facebook 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:
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.
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.
You can find FULL ALBUM of our before /after photos on our Facebook site.*
Bariatric Team
- Our surgeon Almantas Maleckas is a doctor of medical science
- UK General Medical Council (GMC) certified
- He performed over 7.000 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
- Our surgeon Nerijus Kaselis is a doctor with a degree in medicine
- Member of the International Federation of Obesity
- Has been practising abdominal surgery for over 32 years, specialising in bariatric surgery for the past 18 years
- Was the first surgeon to perform various laparoscopic surgeries in Lithuania
- Works as a team lead of surgeons in complicated obesity surgeries abroad
- Has international work and study experience
- Our surgeon Linas Venclauskas has over 15 years of experience
- Specialises in minimally invasive surgery, surgical treatment of the upper gastrointestinal tract and bariatric surgery
- Associate Professor at Lithuanian University of Health Sciences
- President of the Kaunas Society of Surgeons
- A member of the European Hernia Society
- Chairman of the Lithuanian Society of Hernia Surgery
- Our surgeon Aurika Karbonskiene has over 25 years of experience as anesthesiologist
- Over 15 years of experience as a bariatric anesthesiologist
- Since 2008 – Associate Professor at Lithuanian University of Health Sciences
- Board member of Lithuanian Society of Anesthesiologists and Intensive Care Physicians
- Member of the European Society of Anesthesiology
- Researcher and coordinator at the Clinical Trial Network of European Society of Anesthesiology
- Our surgeon Almantas Maleckas is a doctor of medical science
- UK General Medical Council (GMC) certified
- He performed over 7.000 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
- Our surgeon Nerijus Kaselis is a doctor with a degree in medicine
- Member of the International Federation of Obesity
- Has been practising abdominal surgery for over 32 years, specialising in bariatric surgery for the past 18 years
- Was the first surgeon to perform various laparoscopic surgeries in Lithuania
- Works as a team lead of surgeons in complicated obesity surgeries abroad
- Has international work and study experience
- Our surgeon Linas Venclauskas has over 15 years of experience
- Specialises in minimally invasive surgery, surgical treatment of the upper gastrointestinal tract and bariatric surgery
- Associate Professor at Lithuanian University of Health Sciences
- President of the Kaunas Society of Surgeons
- A member of the European Hernia Society
- Chairman of the Lithuanian Society of Hernia Surgery
- Our surgeon Aurika Karbonskiene has over 25 years of experience as anesthesiologist
- Over 15 years of experience as a bariatric anesthesiologist
- Since 2008 – Associate Professor at Lithuanian University of Health Sciences
- Board member of Lithuanian Society of Anesthesiologists and Intensive Care Physicians
- Member of the European Society of Anesthesiology
- Researcher and coordinator at the Clinical Trial Network of European Society of Anesthesiology
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.
Special bariatric app for your mobile phone
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
What sets us apart from other clinics?
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 5.000 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.
Bariatric team
COVID-19 situation: We're open!
Our clinic is open and operates in accordance with all safety requirements. All the procedures are implemented as usual. You can read about the latest COVID-19 updates here.
Gastric sleeve success rates
Gastric sleeve surgery is among the most popular bariatric surgeries. Usually, it is the last choice for those struggling to lose excess body weight. After 1-1.5 years post-surgery, weight loss naturally slows down and then as many as 30% of patients give up their healthy habits. It is known that for the first 5 years after surgery patients are more prone to regain weight.
It works wonders for some patients who lose as much as 65% of their excess weight, however, others cannot lose enough weight even after undergoing the surgery. There are several key differences between these two groups of people
Successful patients exercise regularly, avoid “comfort food”, follow a balanced diet, and eat in small portions. They feel responsibility for their own weight loss and have completely changed their mindset as well as everyday habits.
On the other hand, patients who fail to lose weight stick to previous lifestyle choices even after weight loss surgery. They continue leading a sedentary lifestyle and eating unhealthy foods in large quantities which leads to complications and weight gain.
FAQ sessions with our surgeon
Watch full list of interview sessions on our Youtube channel.
Who is a good candidate for revision surgery?
Good revision surgery candidates are those:
- who failed to lose at least 50% of the excess weight;
- who have regained enough weight for the weight-related medical problems (e.g. diabetes) to return or worsen;
- with body mass index (BMI) of 40 or more;
- who have developed severe adverse gastric sleeve effects, such as chronic ulcers, gastroesophageal reflux, stomach dilation, or others.
Is there anything I can try before resorting to revision surgery?
Patients who fail to lose enough weight after undergoing gastric sleeve surgery should firstly consult a doctor. The doctor will evaluate the patient‘s health state and determine what is the reason for gastric sleeve failure (physiological, psychological, or lifestyle related).
If the gastric sleeve did not work because of poor lifestyle habits, a patient can choose to be re-educated by a dietitian or a psychologist. Learning how to choose healthy food options, eating small portions, and exercise regularly may be all that is needed for the gastric sleeve to work.
Unfortunately, surgery is almost always indicated if the reason for gastric sleeve failure is physiological. Side effects, such as esophageal or gastric dilation, reflux, or strictures should be treated surgically.
How is revision surgery performed? Is gastric bypass the only option?
Someone planning a revision surgery may consider several available options which include revisional gastric sleeve (e.g. fixing a dilated gastric sleeve), converting to a gastric bypass, mini gastric bypass, or duodenal switch. The latter one, however, is usually not performed in standard cases because of a high complication risk.
Gastric bypass and mini gastric bypass would be the most recommended surgeries for a gastric sleeve revision patient. Gastric bypass is both restrictive and malabsorptive, making it a much more effective two-way weight loss method (note that gastric sleeve is just a restrictive procedure). The main advantage of this surgery is that it is permanent, weight loss is experienced immediately, and there are no post-surgery adjustments needed for this weight loss method to provide the desired results, however, lifestyle and nutritional habit changes are still essential for the surgery to work long-term:
- Conversion from a gastric sleeve to a gastric bypass takes approximately 2 hours to complete;
- During this surgery, the sleeve-like stomach is divided into two small pouches of which one processes food and is connected to the beginning of the small intestine and the other pouch (which opens to the duodenum and only produces gastric juice) is connected to the lower part of the small intestine;
- This surgery requires the patient to stay in the clinic for 2-3 days for close monitoring.
Risks of gastric sleeve revision surgery
Additional surgery is associated with a higher complication risk, and thus, we suggest choosing a highly experienced bariatric surgeon. All patients should follow a presurgery weight loss diet to reduce intra-operative complication risk. Some of the possible risks are:
- prolonged surgery;
- anaesthesia risk;
- infection risk
- leakage.
In order to ensure long-term success of the surgery, patients should adopt life-long behavioral changes. It is necessary to eat very small meals, exercise regularly, and take vitamin supplements and avoid overeating, consuming foods high in sugar and fat, or carbonated drinks. Other unhealthy habits, such as tobacco or alcohol consumption, also have a strong influence on the weight loss results, and thus, should be strictly avoided.
How to prepare for the surgery?
Preparation for the surgery begins with a consultation with your bariatric surgeon who determines the best treatment option for you. There is a number of medical tests that will need to be performed, such as a complete blood count, urine analysis, electrocardiogram (ECG), and gastroscopy. In order to determine any underlying problems (e.g. liver damage, kidney failure, or high blood cholesterol levels), you might be asked to do lung or kidney function tests.
Smoking and alcohol consumption should be ceased one month before surgery. You should refrain from alcohol for at least the first postoperative year.
Also, be aware of blood-thinning medications (e.g. aspirin, warfarin, and ibuprofen) and substances (e.g. fish oil or garlic), as they may need to be discontinued before surgery. Always be honest about the medication your taking with your medical team and inform them to seek advice on how to take them when preparing for surgery. Get into the habit of taking multivitamins daily and exercising regularly (e.g. walking fast-paced) for at least 90 minutes a day.
A low-calorie diet is advised before surgery to achieve presurgery weight loss and prepare you for the postoperative diet.
On the day of the surgery, you should wash yourself with anti-bacterial soap. You will be required to fast 6 hours before surgery and do not drink any water 2 hours before surgery.
Is gastric bypass diet different from the gastric sleeve diet?
Gastric bypass, as well as gastric sleeve diets, apply the same post-bariatric surgery menu principles. After surgery diet usually follows a staged approach to help you gradually adapt to eating solid foods again.
On the first week post-surgery, you will only be able to consume clear liquids (water and juices). At the clinic you will also be given baby puree and low-fat natural yoghurt, which you can consume the first week. Depending on how well you can handle clear liquids you may have other liquids (Jell-O, diluted broth, skim milk). Drinks high in sugar, carbonated or caffeinated drinks should be strictly avoided as they can cause dumping syndrome. In order to prevent anemia and vitamin deficiencies, you must take vitamin and mineral supplements daily.
On the second week post-surgery, you should begin fully eating pureed foods. Examples may include pureed soups, very soft non-fibrous fruit and vegetables that may be blended with water, skim milk, or broth. It is highly important to eat often (5-6 times a day) and in very small portions (4-6 tablespoons). You should set aside at least 30 minutes to chew and swallow slowly.
After two weeks of pureed food, you may slowly proceed to soft foods, such as flaked fish, scrambled eggs, cottage cheese, rice, or soft poultry. You should eat 3-5 meals a day, no more than 100-150 ml or grams per serving.
After two months on the bariatric diet, you can return to eating solid foods. Note that you should still eat often (3-5 times a day) and consume small portions of food. A general rule to follow is to stop eating before feeling completely full. Bear in mind that certain foods (e.g. bread, fizzy drinks, fibrous fruits and vegetables, fried or spicy food, popcorn) may cause nausea and vomiting. It is advised to completely eliminate easy carbohydrates and limit fruit intake to a minimum.
Recovery after surgery
Gastric sleeve revision surgery is usually performed laparoscopically, and thus, there will be around five small incisions in your stomach area which allows for shorter recovery time. It is normal to experience swelling and bruising, however, if you experience bright red skin, excessive fluid or blood leakage from postoperative wounds, contact your doctor immediately.
Most patients spend approximately 2-3 days at the clinic and can return to regular activities within 3 to 6 weeks. After one day post-surgery, you should begin walking and have a shower after 5 days post-op. It is recommended to take at least 2 to 4 weeks off work to rest and heal at home.
Pain is managed with over-the-counter drugs, such as paracetamol. Note that anti-inflammatory drugs such as ibuprofen are not advised after such surgery, as they may irritate the stomach. Keep your wound dressings clean, use waterproof plasters when showering and exercise sterile wound care.
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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