Bariatric Surgical Providers
Scott A. Bovard, MD, FACS, FASMBS
Jon-Michael Bruce, MD, FACS, FASMBS
Paul E. Enochs, MD, FACS, FASMBS
David Pilati, MD
Michael Tyner, MD, FASMBS
Kajal Zalavadia, MD, ABIM, DABOM
Sarah Stout, PA-C
Kristin Kelly, RD, LDN
Jody McHugh, RD, LDN
Experts Endorse Metabolic Surgery for Diabetes Intervention
"Despite the increasing evidence of improved control of diabetes in obese patients after surgery, up until now current treatment plans for type 2 diabetes do not include Bariatric or metabolic surgery. It has now been concluded after a 10 year review of the literature that metabolic surgery should be recommended for obese patients with type 2 diabetes. These conclusions and guidelines will help provide much needed guidance for those who take care of these diabetic patients on a regular basis."
Paul E. Enochs MD, FACS, FASMBS
Bariatric Specialists of North Carolina, a division of Triangle Orthopaedics
We have joined forces with Bariatric Specialists of North Carolina, P.A. (BSNC) to bring the residents of Wake, Durham County and the surrounding areas the most comprehensive bariatric, general surgery, and orthopaedic services available.
This affiliation, which officially began on April 1, 2014, affords patients access to a network of physicians covering a multitude of specialties centered on a team approach to healthcare. In aligning with one another, our entire network of physicians and providers will have the tools necessary to continue to provide exceptional patient care.
Weight Loss Surgery (WLS), also known as Bariatric Surgery:
Weight Loss Surgery may be an option for patients who have been unsuccessful at losing or keeping weight off with conventional weight loss methods. For those who have a BMI greater than 35 with one or more major medical condition or a BMI greater than 40, weight loss surgery may be a good tool to help lose the weight and keep it off for good. Weight loss surgery is only a tool. Without diet and lifestyle modification, surgery will not be successful long term.
There are two types of bariatric surgery, restrictive and malabsorptive:
- Restrictive Procedures: Lap-Band and Sleeve Gastrectomy
- Malabsorptive: Gastric Bypass
- Lap-Band- a silicone, adjustable band is place around the top of the stomach and connected to a port that sits below the skin. The port is accessed via a needle and fluid can be added or removed which tightens or loosens the Band. This is the safest procedure and the only one that is completely reversible. Most patients will lose 50 to 60 percent of their excess body weight within the two years.
- Sleeve Gastrectomy- the surgeon frees up the stomach from other anatomy. Then a tube known as a bougie is dropped into the stomach to act as a guide. The surgeon surgically trims the stomach with a stapler and removes the excess stomach portion from the body. The remaining stomach looks like a tube. This allows patients to eat a smaller amount of food and lose 50 to 60 percent of their excess weight within the first year after surgery.
Malabsorptive Procedures (Procedures which restrict the amount of food you take in and how much of the nutrients your body can absorb)
Gastric Byass (Roux-en-Y)- A stomach pouch about the size of an egg is created. The surgeon then bypasses about two feet of small intestine and surgically connects the small intestine and your new stomach pouch. The excess stomach portion is not removed. This allows you to eat a smaller portion of food and absorb less of the calories you take in. Patients who have undergone gastric bypass surgery may experience “dumping syndrome” if they eat too much sugar or fat. Most patients will lose 50 to 75 percent of their excess weight within the first year after surgery.
The risks of surgery includes bleeding, infection, injury to other organs, heart problems, lung problems, wound problems, blood clots, as well as stroke, heart attack, and death. These are general risks associated with surgery and general anesthesia. For most patients, the risk of doing nothing is greater than the risks of surgery. We give you a tool whether it’s a Lap-Band, Bypass, or Sleeve. A long term successful weight loss surgery patient is one who maximizes their protein intake, minimizes processed foods and sugars, drinks plenty of fluids, takes their vitamins, and engages in physical activity.
DEXA Total Body Composition Analysis
Body Composition Analysis provides detailed and accurate information about overall health and athletic performance. Click here for more information!
To learn more about the procedures, risks, benefits of surgery, and the physicians of Bariatric Specialists of North Carolina, please visit our website, www.surgerync.com.
To register for a free online or in-person informational seminar, please visit www.surgerync.com/weight-loss-seminars.php.
About Bariatric Specialists of North Carolina, P.A.
Founded in 2002 by Paul Enochs, MD, Bariatric Specialists of NC is the Triangle's first and premier private weight loss surgery practice. Along with partners Jon Bruce, MD and Michael Tyner, MD, BSNC is dedicated to educating the population about the dangers of obesity and equipping them with the surgical and non-surgical tools necessary to begin and continue along their weight loss journey. Today, we have multiple office locations around the Triangle, an outreach program in Benson, two Envision Nutricenters providing patients' products essential to achieve optimum health, an outpatient lab, The Macgregor Sleep Center, and a Registered Dietitian for pre and post-surgical counseling. Our surgeons also provide general surgery care for Bariatric patients specializing in colorectal, gallbladder removal, minimally invasive techniques, and incisional and hiatal hernia repairs. For more information on Bariatric Specialists of North Carolina, P.A., please visit: www.surgerync.com.
Below are the most common surgeries performed by our bariatric surgical specialists:
- Laparoscopic Adjustable Gastric Banding (Lap-Band)
- Sleeve Gastrectomy
- Gastric Bypass (Roux-en-Y)
Bariatric Specialists of North Carolina Dedicated Website: