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MINIMALLY INVASIVE WEIGHT LOSS SURGERY

Obesity is related to many chronic conditions and often complicates their course. The conservative treatment for obesity is less effective if compared to surgical method of treatment. In case the BMI is too high and efforts to lose weight with diets or medications have been unsuccessful – surgery may be the only option. At present, surgical management of obesity is the only method of treatment that can provide permanent weight loss results. Weight loss surgery increases life expectancy, improves health and the quality of life.

COMPLEX SOLUTIONS IN TREATMENT OF OVERWEIGHT (OBESE) PATIENTS 

Treatment of obesity involves supervision of doctors with different specialties. Effective care by the multi-profile team guarantees a long-lasting treatment success. Apart from the surgeon the patient gets advice of psychologist, dietitian and endocrinologist. Surgery procedure can ensure the physical loss of weight. Along with it, the related pathologies are being corrected and changes in metabolism, behavioral habits and patient’s social self-esteem occur. In order the patient could successfully overcome the new challenges, the supervision and assistance provided by skilled health care professionals is absolutely essential.

 Work with the patient includes:

  • Psychologist advice
  • Dietitian advice
  • Endocrinologist advice
  • Advice of abdominal surgeon 

TARGET PATIENT GROUPS

  • Women and men of different age with BMI³ 40 kg/m2;
  • BMI³ 35 kg/m2 + adjacent diseases
    • Diabetes
    • Hypertonia
    • Hyperlipidemia
    • Sleep apnea
    • Patients in whom conservative measures are ineffective

MORBID OBESITY (BEGINS AT A BMI OF 40) 

The basic cause of obesity is an energy imbalance between calories consumed and calories expended.

To be considered for weight-loss surgery, a patient must meet the following qualifications:

  • No endocrine disorders, that cause the morbid obesity
  • Psychological stability 
  • Understanding how the surgical operation causes loss of weight
  • Awareness of the fact, that the surgery itself does not ensure the weight loss
  • No mental illness, drug dependence or alcohol addiction
  • Agreement to stay under long-lasting postoperative supervision

Weight loss surgery procedures at „Surgery Experts” are performed by abdominal surgeon doctor Nerijus Kaselis. 

Gastric bypass (Enquire)

Gastric bypass - is the combined surgery procedure, during which both the volume of the stomach (by almost 90%) and the length of the digestive tract is reduced.  From the upper part of the stomach a small stomach pouch of 15-30 ml volume is created.  Thanks to this, a very little amount of food is enough to experience the satiety. (The pouch restricts the food intake at one time and the patient experiences the early satiety).

Usually, from the stomach the food passes to the small intestine, in which the biggest amount of nutrients and calories are being absorbed. During the gastric bypass surgery the created small stomach pouch is attached to the middle part of the small intestine (duodenum), in such a way the remaining part of the stomach and some part of the small intestine are bypassed.

 Such procedure shortens the movement of food through the digestive tract, therefore fewer nutrients and calories in foods are absorbed. The length of the bowels to be shortened depends on the patient‘s BMI.

CONSULTATION

At the time of consultation, the operating surgeon evaluates your health condition, weight change history, doctor specialist’s referral information and patient’s expectations after the surgery. The surgeon will answer your questions about the surgery, and will provide more information on the healing and recovery process.

As with all gastric surgeries, dietitian’s consultation is necessary prior to the surgery. The dietitian will evaluate your current eating patterns and will provide extensive information on how your diet should change after the surgery.

SURGERY

The surgery is performed under general anesthesia. At Surgery Experts, gastric bypass surgeries are performed by the leading gastric and abdominal surgeon – Dr. Nerijus Kaselis.

Gastric bypass surgery is performed using minimally invasive laparoscopic technique under general anesthesia. 

RECOVERY

  • It is recommended to stay in the hospital for 2-3 days after the surgery. For patients having flights, it is recommended to fly not earlier than on the 4th day after the surgery to avoid any possible complications.
  • Most patients return to work after 2 weeks after the surgery.
  • Most patients return to their normal activities in 3 to 5 weeks after the surgery
  • Pain medicine may need to be taken for 7-10 days after the surgery.

POSSIBLE COMPLICATIONS

The risk of complications may arise due to improper treatment of anastomosis – surgical connection between two parts of the bowels. Possible complications include:

  • Anastomosis leak, when the fluid from the digestive tract leaks to the abdominal cavity causing the risk of infections. Such complication occurs in 2 percent of cases.
  • Anastomotic narrowing – sometimes scars, formed during the healing process at the anastomotic site, can narrow the diameter of the bowel and interfere the metabolism.
  • Anastomotic ulceration. Reasons for ulcer occurrence may be insufficient blood circulation in the anastomosed region, strain, increased gastric acidity and smoking. Common in 1-16 percent of cases.
  • Gastric dumping syndrome – condition associated with too rapid gastric emptying.
  • Vitamin, mineral and nutrient deficiencies.
  • Average weight loss after bypass surgery is 65 to 80 percent of the excess body weight. 

Gastric Sleeve (Enquire)

Sleeve gastrectomy, or gastric sleeve – is a procedure, during which the volume of stomach is reduced by 70 percent. A surgeon creates a small stomach "sleeve”, a tube-shaped organ, the volume of which is about 200 ml.

After a sleeve gastrectomy, correction of eating and behavior habits is essential – patient must avoid high calorie beverages (milk cocktails, carbonated beverages etc.), eat in small portions of food, never lay down after meal, avoid eating and drinking at the same time, chew food properly, eat  five times during the day.

CONSULTATION

Operating surgeon's consultation is absolutely necessary before the gastric sleeve surgery. The surgeon evaluates patient's health condition and weight change history, checks doctors' referrals, discusses the surgery details with the patient, as well as the post-surgery period and recovery.

 SURGERY

The surgery is performed under general anesthesia. At Surgery Experts, gastric sleeve surgeries are performed by the leading gastric and abdominal surgeon – Dr. Nerijus Kaselis.

Gastric sleeve surgery is performed using minimally invasive laparoscopic technique under general anesthesia. 

RECOVERY

  • It is recommended to stay in the hospital for 2-3 days after the surgery. For patients having flights, it is recommended to fly not earlier than on the 4th day after the surgery to avoid any possible complications.
  • Most patients return to work after 2 weeks after the surgery.
  • Most patients return to their normal activities in 3 to 5 weeks after the surgery
  • Pain medicine may need to be taken for 7-10 days after the surgery.

POSSIBLE COMPLICATIONS

 The risk of complications after this type of surgery occurs in 3-5 percent of cases.

  • Most common complications are: bleeding, pneumonia, infections. Risk for developing complications is highest in patients with greater degrees of obesity before surgery.
  • Regaining of weight. Patients may regain some of their lost weight if they eat high calorie foods, drink high calorie beverages or snack between meals.
  • Blood loss after surgery, wound infections, gastric mucosal irritation caused by anti-inflammatory medications. 

 

Gastric Plication (Enquire)

 Gastric band (lap band) surgery

Gastric banding (lap band) - is a surgical procedure to reduce the size of the stomach using a hollow adjustable band (ring). The band is placed around the upper part of the stomach and gives it the shape of a sandglass. The band has a saline filled sac. The sac, in its turn, is connected to a small reservoir positioned under the skin. The reservoir allows postoperative band adjustment by injecting or removing some saline into or from it. 

The upper part of the stomach gets fast full after eating just a little amount of food, and the band slows down the transit of food to the lower part of the stomach.

A gastric band is intended to be a long-term implant. It may stay in patient‘s body for the rest of his/her life. The band may be changed in case of band leakage, repositioning, slippage or other reasons.

 Complications

  • The most common complication – regurgitation from the upper area of the stomach. In order to avoid it, the patient should eat small amounts of food per meal and chew the food properly. Large amounts of poorly chewed food may cause obstruction of the passage from upper to lower part of the stomach.
  • Ring slippage – dilation of the upper part of the stomach or esophagus. This complication can occur in case of patient's inability to adhere with postoperative recommendations.
  • Gastric erosion caused by the band
  • Local pain.
  • Infection of the fluid inside the band
  • Dilation of the subcutaneous reservoir – local pain, deformation of the reservoir.
  • Mineral, vitamin and nutrient deficiencies. 

Gastric banding leads to loss of about 0, 5-1 kg of excess weight per week. People with higher levels of obesity may expect to lose more weight after gastric banding. 

Surgery Experts is chosen by many International patients for Obesity surgery (weight loss) because:

  • ZERO MRSA infections (compared to 8%+ in the UK and other European countries)
  • No waiting lists
  • Leading medical professionals
  • Advanced and effective methods for diagnostics and treatment
  • Personalized care of outstanding quality
  • English speaking personal medical manager and doctors
  • Close to the Scandinavian and other European countries – short and inexpensive trip
  • Further rehabilitation possibilities in the finest resorts of Lithuania
  • Prices significantly lower than in the Scandinavian and other EU countries

Prices of Obesity surgery (weight loss)

 

Procedures

Price from

Gastric Bypass

5500 EUR

Gastric Sleeve

5500 EUR

Gastric Plication

4200 EUR

Obesity Surgery - any other procedure / treatment

Enquire

Our prices are all-inclusive and there are no hidden fees. Here’s what’s included in the price: 

  • Pre-operative tests
  • Surgeon consultation prior to the surgery
  • Surgery
  • Surgeon visits and consultations after the surgery
  • Full medical care in the hospital
  • Hospital stay with 5 daily meals
  • All needed medications while in the hospital
  • Medical Manager to assist at all times
  • Help with organizing the trip

Have questions? Call us at +370 6128 4670, or email at contact@surgeryexperts.eu

 

 

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