Bariatric Surgery

Now Servicing New Locations Around The Triangle! Sanford, Southpoint & Wake Forest!

Bariatric Surgical Providers

Scott A. Bovard, MD, FACS, FASMBS
Jon-Michael Bruce, MD, FACS, FASMBS
David Pilati, MD, AFACS
Michael Tyner, MD, FASMBS
Kajal Zalavadia, MD, ABIM, DABOM
Sarah Stout, PA-C
Kristin Kelly, RD, LDN

Bariatric Specialists of North Carolina, a division of EmergeOrtho

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

Restrictive Procedures

  • 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.

About Bariatric Specialists of North Carolina, P.A.

"Bariatric Specialists of NC 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." – This is our mission and what drives us to do what we do.

As the region's premier, private weight loss surgery practice, the providers of Bariatric Specialists have accomplished many firsts in the field of bariatric surgery. These include but are not limited to:

  • North Carolina's first private weight management resource center
  • A BSNC surgeon performed Raleigh's first gastric bypass, gastric band, and sleeve gastrectomy procedures
  • A BSNC surgeon performed North Carolina's first SILS (Single Incision Laparoscopy Surgery) Lap-Band
  • A BSNC surgeon performed the Southeast's first Single Anastomosis Duodenal Switch, also knowns as "SIPS," procedure
  • A BSNC surgeon performed Wake County's first robotic gallbladder as well as Wake County's first robotic Lap-Band, bypass, and sleeve gastrectomy procedures
  • The most experienced private practice in the Triangle having performed well over 7,000 bariatric procedures
  • BSNC surgeons have over 50 years of combined surgical experience specializing in advanced laparoscopy and bariatrics
  • Offering a comprehensive approach to care with an on-site patient lab, dietitians, cardiac testing, fluoroscopy for band adjustments, sleep center, and nutrition stores

Procedures performed by Bariatric Specialists of North Carolina include:

Sleeve Gastrectomy, Duodenal Switch (DS), Single Anastomosis Duodenal Switch (SADS), Gastric Bypass, Adjustable Gastric Banding, Intragatric Balloon


Visit the Bariatric Specialists of North Carolina website:

"Being able to access your Orthopedic Urgent Care on a Saturday was a God-send. It was wonderful to avoid an ER. Thank you all so much for being open on Saturdays and after hours, Monday through Friday."

"Being able to access your Orthopedic Urgent Care on a Saturday was a God-send. It was wonderful to avoid an ER. Thank you all so much for being open on Saturdays and after hours, Monday through Friday."

EmergeOrtho of the Triangle. All Rights Reserved. All trademarks and registered trademarks are of their respective companies. | Sitemap
EmergeOrtho complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
EmergeOrtho does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Notice of Non-Discrimination | Limited English Proficiency