Kirurg Almantas Maleckas

• Har gjort mer enn 6.000 slankeoperasjoner
• Doktor medicinae
• Arbeider i Litauen og Sverige, snakker flytende svensk
• Medlem av World Weight Loss surgery group
• En pioner i laparoskopisk kirurgi i Øst-Europa
• Praktisk arbeid i Sverige, Gøteborg Universitetssykehus
• Har trent mange andre kirurger som driver med fedmekirurgi i Øst-Europa
• Praktiske kurs og praksisplasser på Ependorf sykehus (Hamburg universitet, Tyskland), Areteion sykehus (Aten universitet, Hellas), Bern  (Sveits)
• Spesialiserer seg i: bariatrisk kirurgi og laparoskopisk kirurgi

Første steg i bariatrisk karriere

Kirurg Almantas Maleckas ble opplært i bariatrisk kirurgi i 2001 ved Sahlgrenska universitetssykehus i  Gøteborg, Sverige. 6 år senere etablerte han et internasjonalt bariatrisk opplæringssenter ved Kaunas medisinske universitetssykehus i Litauen. Kaunas er hjembyen hans og der lærer han opp kirurger fra hele Europa i bariatrisk kirurgi. I 2007 begynte også Dr Almantas Maleckas å lære laparoskopisk esophageal fjerning og torakoskopiske prosedyrer ved Pitsburg medisinske universitet i USA.

Arbeid i Sverige og Litauen

Siden 2003 har Dr Maleckas arbeidet i Sverige ved Sahlgrenska sykehus. Han tilbringer omtrent 2 uker i Sverige hver måned. Kirurgen lærte raskt det svenske språket etter å ha startet arbeidet i Sverige. Kirurg Almantas Maleckas anser det å jobbe i 2 land som en nyttig erfaring fordi han kan sammenligne 2 ulike medisinske systemer, samt søke de beste løsningene i sitt daglige arbeid fra begge jobbene.

Erfaren og myndig spesialist

Dr Almantas Maleckas blir ofte invitert til ulike internasjonale medisinske kongresser som en spesiell gjest som kan holde taler og foredrag. Kirurger fra Polen, Slovakia, Estland, Tsjekkia og andre land ser alltid frem til at den respektable kirurgen skal komme og dele sine nye, personlige erfaringer innen bariatrisk og laparoskopisk kirurgi. Direkte forespørselsskjema

Vitenskapelig arbeid, artikler (medforfatter) av A.Maleckas:

Venclauskas L, Maleckas A, Arcelus JI. Reply to: thromboprophylaxis in the obese surgical patient. ESA VTE Guidelines Task Force. Eur J Anaesthesiol. 2019 Feb;36(2):163-164. doi: 10.1097/EJA.0000000000000937

Gradauskas A, Venclauskas L, Pažusis M, Karpavičius A, Maleckas A. Comparison of the Different Treatment Strategies for Patients with Rectus Sheath Haematoma. Medicina (Kaunas). 2018 May 30;54(3). pii: E38. doi: 10.3390/medicina54030038.

Gudaityte R, Adamonis K, Maleckas A. Laparoscopic Gastric Greater Curvature Plication: Intermediate Results and Factors Associated with Failure. Obes Surg. 2018 Dec;28(12):4087-4094. doi: 10.1007/s11695-018-3465-8.

Wallenius V, Dirinck E, Fändriks L, Maleckas A, le Roux CW, Thorell A. Glycemic Control after Sleeve Gastrectomy and Roux-En-Y Gastric Bypass in Obese Subjects with Type 2 Diabetes Mellitus. Obes Surg. 2018 Jun;28(6):1461-1472. doi: 10.1007/s11695-017-3061-3.

Venclauskas L, Maleckas A, Arcelus JI; ESA VTE Guidelines Task Force. European guidelines on perioperative venous thromboembolism prophylaxis: Surgery in the obese patient. Eur J Anaesthesiol. 2018 Feb;35(2):147-153. doi: 10.1097/EJA.0000000000000703.

Ramonienė G, Maleckienė L, Nadišauskienė RJ, Bartusevičienė E, Railaitė DR, Mačiulevičienė R, Maleckas A. Maternal obesity and obstetric outcomes in a tertiary referral center. Medicina (Kaunas). 2017;53(2):109-113. doi: 10.1016/j.medici.2017.03.003

Kupcinskiene K, Trepenaitis D, Petereit R, Kupcinskas J, Gudaityte R, Maleckas A, Macas A. Monitoring of Hypercoagulability by Thromboelastography in Bariatric Surgery. Med Sci Monit. 2017 Apr 15;23:1819-1826.

Maleckas A, Gudaitytė R, Petereit R, Venclauskas L, Veličkienė D. Weight regain after gastric bypass: etiology and treatment options. Gland Surg. 2016 Dec;5(6):617-624. doi: 10.21037/gs.2016.12.02.

Kupcinskiene K, Murnikovaite M, Varkalaite G, Juzenas S, Trepenaitis D, Petereit R, Maleckas A, Kupcinskas J, Macas A. Thrombosis Related ABO, F5, MTHFR, and FGG Gene Polymorphisms in Morbidly Obese Patients. Dis Markers. 2016;2016:7853424. doi: 10.1155/2016/7853424.

Ospanov O, Maleckas A, Orekeshova A. Gastric greater curvature plication combined with Nissen fundoplication in the treatment of gastroesophageal reflux disease and obesity. Medicina (Kaunas). 2016;52(5):283-290. doi: 10.1016/j.medici.2016.08.001.

Labrie V, Buske OJ, Oh E, Jeremian R, Ptak C, Gasiūnas G, Maleckas A, Petereit R, Žvirbliene A, Adamonis K, Kriukienė E, Koncevičius K, Gordevičius J, Nair A, Zhang A, Ebrahimi S, Oh G, Šikšnys V, Kupčinskas L, Brudno M, Petronis A. Lactase nonpersistence is directed by DNA-variation-dependent epigenetic aging. Nat Struct Mol Biol. 2016 Jun;23(6):566-73. doi: 10.1038/nsmb.3227

Abusnana S, Abdi S, Tagure B, Elbagir M, Maleckas A. Bariatric surgery outcomes: a single-center study in the United Arab Emirates. Diabetes Metab Syndr Obes. 2015 Sep 18;8:461-71. doi: 10.2147/DMSO.S87861.

Maleckas A, Venclauskas L, Wallenius V, Lönroth H, Fändriks L. Surgery in the treatment of type 2 diabetes mellitus. Scand J Surg. 2015 Mar;104(1):40-7. doi: 10.1177/1457496914561140.

Mickevicius A, Ignatavicius P, Markelis R, Parseliunas A, Butkute D, Kiudelis M, Endzinas Z, Maleckas A, Dambrauskas Z. Trends and results in treatment of gastric cancer over last two decades at single East European centre: a cohort study. BMC Surg. 2014 Nov 26;14:98. doi: 10.1186/1471-2482-14-98.

Petereit R, Jonaitis L, Kupčinskas L, Maleckas A. Gastrointestinal symptoms and eating behavior among morbidly obese patients undergoing Roux-en-Y gastric bypass. Medicina (Kaunas). 2014;50(2):118-23. doi: 10.1016/j.medici.2014.06.009.

Kiudelis M, Mechonosina K, Mickevičius A, Maleckas A, Endzinas Ž. The influence of operation technique on long-term results of achalasia treatment. Medicina (Kaunas). 2013;49(2):56-60.

Werling M, Fändriks L, Björklund P, Maleckas A, Brandberg J, Lönroth H, le Roux CW, Olbers T. Long-term results of a randomized clinical trial comparing Roux-en-Y gastric bypass with vertical banded gastroplasty. Br J Surg. 2013 Jan;100(2):222-30. doi: 10.1002/bjs.8975.

Mickevičius A, Endzinas Ž, Kiudelis M, Jonaitis L, Kupčinskas L, Pundzius J, Maleckas A. Influence of wrap length on the effectiveness of Nissen and Toupet fundoplications: 5-year results of prospective, randomized study. Surg Endosc. 2013 Mar;27(3):986-91. doi: 10.1007/s00464-012-2550-7. 

Toliusis V, Kalesinskas RJ, Kiudelis M, Maleckas A, Griksas M. Surgical treatment of metastatic tumors of the femur. Medicina (Kaunas). 2010;46(5):323-8

Laurenius A, Taha O, Maleckas A, Lönroth H, Olbers T. Laparoscopic biliopancreatic diversion/duodenal switch or laparoscopic Roux-en-Y gastric bypass for super-obesity-weight loss versus side effects. Surg Obes Relat Dis. 2010 Jul-Aug;6(4):408-14. doi: 10.1016/j.soard.2010.03.293. 

Dambrauskas Z, Parseliūnas A, Maleckas A, Gulbinas A, Barauskas G, Pundzius J. Interventional and surgical management of abdominal compartment syndrome in severe acute pancreatitis. Medicina (Kaunas). 2010;46(4):249-55.

Venclauskas L, Maleckas A, Kiudelis M. One-year follow-up after incisional hernia treatment: results of a prospective randomized study. Hernia. 2010 Dec;14(6):575-82. doi: 10.1007/s10029-010-0686-8.

Venclauskas L, Bratlie SO, Zachrisson K, Maleckas A, Pundzius J, Jönson C. Scand J Gastroenterol. Is transcatheter arterial embolization a safer alternative than surgery when endoscopic therapy fails in bleeding duodenal ulcer? 2010 Mar;45(3):299-304. doi: 10.3109/00365520903486109

Malcius D, Jonkus M, Kuprionis G, Maleckas A, Monastyreckiene E, Uktveris R, Rinkevicius S, Barauskas V. The accuracy of different imaging techniques in diagnosis of acute hematogenous osteomyelitis. Medicina (Kaunas). 2009;45(8):624-31.

Markelis R, Endzinas Z, Grižas S, Pundzius J, Saladžinskas Z, Juozaitytė E, Inčiūra A, Pranys D, Maleckas A. Early postoperative intraperitoneal chemotherapy for the treatment of advanced gastric cancer. Medicina (Kaunas). 2011;47(1):63-9.

Toliusis V, Kalesinskas RJ, Kiudelis M, Maleckas A. Surgical treatment of humeral metastatic tumors. Medicina (Kaunas). 2009;45(8):607-14.

Markelis R, Endzinas Z, Kiudelis M, Grizas S, Pundzius J, Saladzinskas Z, Juozaityte E, Inciūra A, Pranys D, Maleckas A. Adjuvant therapy after curative resection with D2 lymphadenectomy for gastric cancer: results of a prospective clinical trial. Medicina (Kaunas). 2009;45(6):460-8.

Mickevicius A, Endzinas Z, Kiudelis M, Jonaitis L, Kupcinskas L, Maleckas A, Pundzius J. Influence of wrap length on the effectiveness of Nissen and Toupet fundoplication: a prospective randomized study. Surg Endosc. 2008 Oct;22(10):2269-76. doi: 10.1007/s00464-008-9852-9.

Bogusevicius A, Grinkevicius A, Maleckas A, Pundzius J. The role of D-dimer in the diagnosis of strangulated small-bowel obstruction. Medicina (Kaunas). 2007;43(11):850-4.

Olbers T, Björkman S, Lindroos A, Maleckas A, Lönn L, Sjöström L, Lönroth H. Body composition, dietary intake, and energy expenditure after laparoscopic Roux-en-Y gastric bypass and laparoscopic vertical banded gastroplasty: a randomized clinical trial. Ann Surg. 2006 Nov;244(5):715-22.

Andrén-Sandberg A, Ansorge C, Eiriksson K, Glomsaker T, Maleckas A. Treatment of pancreatic pseudocysts. Scand J Surg. 2005;94(2):165-75.

Olbers T, Fagevik-Olsén M, Maleckas A, Lönroth H. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic vertical banded gastroplasty for obesity. Br J Surg. 2005 May;92(5):557-62.

 

Auskalnis S, Bogusevicius A, Maleckas A, Butrimavicius S, Toker I. Primary peritonitis caused by group A beta-hemolytic streptococcus. Medicina (Kaunas). 2004;40(10):969-74. 

Maleckas A, Daubaras V, Vaitkus V, Aniuliene A, Dirzinauskas E, Rakauskas M, Pundzius J. Increased postoperative peritoneal adhesion formation after the treatment of experimental peritonitis with chlorhexidine. Langenbecks Arch Surg. 2004 Aug;389(4):256-60. 

Barauskas G, Svagzdys S, Maleckas A. C-reactive protein in early prediction of pancreatic necrosis. Medicina (Kaunas). 2004;40(2):135-40.

Mickevicius A, Endzinas Z, Kiudelis M, Maleckas A. Hiatal hernia and gastroesophageal reflux: possibilities and results of surgical treatment. Medicina (Kaunas). 2002;38(12):1201-6.

Endzinas Z, Maleckas A, Mickevicius A, Kiudelis M. Follow-up results and learning curve in laparoscopic gastrofundoplications. Zentralbl Chir. 2002 Nov;127(11):939-43.

Bogusevicius A, Maleckas A, Pundzius J, Skaudickas D. Prospective randomised trial of computer-aided diagnosis and contrast radiography in acute small bowel obstruction. Eur J Surg. 2002;168(2):78-83.

Bogusevicius A, Pundzius J, Maleckas A, Vilkauskas L. Computer-aided diagnosis of the character of bowel obstruction. Int Surg. 1999 Jul-Sep;84(3):225-8.