Bariatric Surgery in Vilnius

Bariatric surgery is a group of weight-loss surgeries that involves making changes to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help patients lose weight by either limiting the amount of food they can consume/digest at any one time or reducing their body’s ability to absorb nutrients. Some procedures do both. 

Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight. In general, these surgeries can only be an option for patients whose body mass index (BMI) is 40 or higher (extreme obesity). In certain cases, patients whose BMI is 30 to 39.9 may qualify for certain types of bariatric surgery if they have serious weight-related problems, such as type 2 diabetes.

The three most common types of Bariatric Surgeries are as follows:

1. Gastric Sleeve – The most common surgery, in which about 80% of the stomach is irreversibly removed, resulting in a sleeve or tube-like structure. This smaller stomach will not be able to hold as much food and produces less of the hormone that regulates appetite (ghrelin), which can lessen the patient’s desire to eat. 
2. Gastric Bypass – A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged to bypass the large pouch. As a result, the volume of the stomach is significantly reduced. This causes food to go into the small upper pouch of the stomach and then directly into the small intestine. The small upper pouch can only hold around an ounce of food. Gastric Bypass is typically not reversible. 
3. Gastric Band – Involves an inflatable silicone device that is fitted around the top portion of the stomach to create a smaller stomach pouch. This procedure causes the patient to feel fuller with less food but still allows the body to digest food as usual, without malabsorption. The device can be removed when the patient reaches their desired weight.

The bariatric surgeries mentioned above are typically performed laparoscopically, in which the surgeon creates around one to five small incisions in the abdomen to insert a laparoscope (a long narrow tube with a camera) and surgical tools. The patients are usually given a general anesthetic, so they will not feel anything throughout the surgery.

How Long Should I Stay in Vilnius?

After bariatric surgery, an overnight stay in the hospital is usually required. In some cases, you may need to stay longer (around 3 to 5 days). However, it is not advisable to leave Vilnius as soon as you are discharged from the hospital. Stay at least 10 to 14 days following your surgery for initial recovery and follow-up checkups. During the follow-up checkups, your surgeon will remove your stitches and check your overall condition.

What's the Expected Recovery Time?

The recovery time may take around 3 to 6 weeks until you are allowed to go back to your normal activities, including work, with some restrictions. You must avoid heavy work and strenuous activities, such as lifting, pushing, or carrying heavy loads for at least the first three months after surgery. You should also avoid sitting and standing without moving for long periods to avoid blood clots forming in your legs.

What Aftercare is Required?

You will be given a special diet plan immediately after your surgery, as well as detailed post-operative instructions. Make sure to follow the diet plan and instructions to avoid complications and speed up your recovery. In order to maximize and maintain weight loss, it is important that you commit to healthy eating and regular exercise. There may be restrictions on how much food you can consume. You may also need to change your eating habits, such as eating 6 small meals instead of 3 large meals each day. You should take vitamins and mineral supplements to ensure proper nutrition. 

What's the Success Rate?

The success rates vary for each of the different types of bariatric surgery. In general, within the first six months following the surgery, most patients lose around 30% to 55% of their excess weight. Then, as early as 12 months after surgery, most patients lose over 70% of their excess weight. Patients could also maintain a 50% to 60% loss of excess weight for 10 to 14 years after their bariatric surgery. Although the success rates are high, there are risks associated with bariatric surgery, such as bleeding, deep vein thrombosis, infections, spleen injury, stenosis, and infections.

Are there Alternatives?

There is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device that is temporarily inserted into the stomach via endoscopic placement. A sizable area of the stomach is obstructed by the balloon or balloons, thus reducing the amount of food it can contain at any one time, leading to eventual weight loss. The balloons are usually removed after 6 or 12 months. 

If you cannot or do not want to undergo any surgery or medical procedure, you may be able to work with a doctor who is experienced in treating extreme obesity and a dietician as the alternative. They may recommend you to change your diet, adding physical activity, and prescribe medications.

Bariatric Surgery in and around Vilnius

About Vilnius

Vilnius is the capital of Lithuania and is also the largest city in the country, with a population of around 564,147. Vilnius was once referred to as the ‘Jerusalem of the north’ but the Jewish community was largely wiped out in WWII. The city does not hide its battle relics. Tourists will find museums dedicated to the Holocaust and preserved the KGB torture chamber. Other than its fascinating history, Vilnius also offers spectacular architecture, trendy bars, and hot-air balloons.

Vilnius is emerging as a medical tourism destination. Every year, medical tourism in Vilnius continues to expand and evolve. Medical treatments in Vilnius are gaining a powerful reputation among medical tourists. The vast majority of the medical tourists coming to Vilnius are from the Middle East, the United States, and Western Europe. Many tourists travel for Breast Augmentation or other cosmetic surgery. Kardiolita Hospital is one of the most popular medical facilities in the city. There are many reasons why local and international medical tourists come to Vilnius, including:

• Medical facilities with international standards such as JCI accreditation.
• Highly educated doctors and medical practitioners.
• Comprehensive diagnosis in just a single day.
• Foreign language speaking doctors and health care staff.
• Modern and secure equipment.
• Affordable prices for a wide range of medical treatment.

Popular Areas in Vilnius

Vilnius is a driving force behind Lithuania’s tourism sector. The city has affordable attractions, accommodations, and restaurants, Historical landmarks, extraordinary architecture, green spaces, and an array of cafes making the city a special place to visit.

• Palace of the Grand Dukes of Lithuania is located in the heart of Vilnius. The building has a Renaissance, Gothic, and early Baroque architectural styles. The reconstructed palace is now transformed into a museum with 4 exhibition tour routes related to the historical functions. A guided tour is in English, Russian, and German is available for tourists.
• Museum of Occupations and Freedom Fights (KGB Museum) is a museum with the darkest history in Vilnius. It is located in the former KGB building and preserved exactly how the KGB officers left the building. A museum is an excellent place for tourists who want to learn more about history.
• Antakalnis Cemetery in Vilnius is arguably one of the most interesting graveyards in Europe. The cemetery is the final resting place of Lithuanian leaders and locals lost to war. The most notable monuments are the Memorial of Red Army Soldiers and the monument of the victims of January 13, 1991.
• Gediminas’ Tower of the Upper Castle is the remnant of a brick castle built by the Duke of Lithuania, Vytautas Magnum. Tourists can get onto the top of the Gediminas Hill by foot or by the provided modern lift. While in the modern lift, tourists can see panoramic views of Vilnius along with the River Neris.

Weather and Climate in Vilnius

Summers in Vilnius is warm and dry, with occasional showers and chilly days. Summers are short, lasting for around two months from June to August. The average temperature in the summer is around 11 °C to 22 °C. Summers are usually the busiest time for the city’s tourism.

Although autumn is exceptionally beautiful and has many sunny days, the temperature will cool down rapidly during this season. It can get as low as -1°C in mid-November.

The winters are freezing when the average temperature plummets to -9°C. The temperature will remain below zero until March. Winters in the city can be an amazing time. However, it can be difficult in rural areas.

Spring usually arrives late in April and does not last very long. The temperature in Spring is cool and the green spaces are blossoming.  

Getting Around in Vilnius

Vilnius International Airport is the largest airport in Lithuania that connects the country with European cities. It is the hub for air Baltic and Get Jet Airlines. The airport serves many major airlines, as well as budget airlines such as Ryanair and Wizz Air.

Tourists can take the airport taxis to the city center. The taxis can be found in front of the arrivals terminal. A ride to the city center should cost around 10 EUR to 18 EUR. The city bus is another option to travel to Vilnius city center. It is more affordable than taxis, with a single ticket costs around 1EUR.

Walking is the best mode of transportation for exploring the Old Town. A good portion of Vilnius’s attractions is located within walking distance. Buses and trolleybuses are also available, tickets cost 1 EUR which can be paid directly to the driver. Taxis are not very recommended because many taxi drivers are known to cheat foreigners. Uber is available.

Tourist Visas in Vilnius

European Union citizens, American, Canadian, Australian, and British can stay in Vilnius for up to 90 days. Citizens of other countries must apply and obtain a visa before entering Lithuania

The country is part of the Schengen Area, tourists who already hold a Schengen visa does not have to apply for a new visa to enter Lithuania. A passport valid for at least three months beyond the length of stay is required.

Additional Information

1. Local Currency: Since Lithuania adopted the euro in 2015, the official currency is the euro. 1 USD is equivalent to 0.88 EUR.
2. Money & Payments: Tourists can withdraw money from ATMs. Visa and MasterCard credit cards are mostly accepted in hotels and restaurants. Tourists can tip 10% in restaurants if the service is good. Always tip in cash even when you’re paying with credit or debit cards.
3. Local Language: The official language is Lithuanian. Most people in the tourism area and the younger generation can speak English fluently. A large number of the population also speaks Russian and Polish.
4. Local Culture and Religion: Christianity (specifically Catholic) is the major religion in Vilnius. Small groups of the population follow Judaism, Islam, and other religions.
5. Public Holidays: Vilnius celebrates major Christian religious holidays. The city also hosts many annual festivals such as Capital Days in September, Culture Night and Trakai Medieval Festival in June, Street Musician’s Day in May, and Independence Day of the Republic of Uzupis in April.