Bariatric Medicine

A Surgical Solution for Obesity and Related Medical Concerns

Bariatric medicine focuses on treating obesity and helping patients manage their weight to achieve better health.  This can be through surgical and non-surgical treatment options. Bariatric Specialists of North Carolina, P.A. (BSNC) joined forces with EmergeOrtho to provide the best of comprehensive services available to people across North Carolina.  EmergeOrtho’s physicians, registered dietitians and support staff are trained to provide many tools to help you lose the excess weight and manage your renewed health.

Bariatric Specialists of North Carolina was founded in 2002.  Bariatric Specialists of NC (BSNC) 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, there are 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 Registered Dietitian for pre- and post-surgical counseling.. For more information on Bariatric Specialists of North Carolina, P.A., please visit:

What are the benefits of bariatric medicine?

Losing excess weight can drastically improve your health and allow you to enjoy a better quality of life. Significant weight loss often eliminates or reduces the need for medications used to treat common health conditions. Weight loss assists in the correction, prevention, or improvement of weight related health concerns including heart disease, high blood pressure, sleep apnea, join and back pain, breathing difficulties, diabetes, stroke, cancer, arthritis, and infertility.

While many people know they would benefit from weight loss, it can be difficult to lose the weight “on your own” or through other common methods such as diet and exercise alone. BSNC’s six physicians, registered dietitians, and team of staff are here to provide many weight loss and weight management tools to help you lose the excess weight and regain your life.

What are the requirements for bariatric surgery?

Typical criteria for insurance coverage of bariatric surgery include:

  • Have a BMI (body mass index) greater than 40 or
  • Have a BMI (body mass index) greater than 35 with one or more major medical condition
  • If you’re not sure of your BMI, you can calculate it using this online BMI calculator.

Bariatric Specialists of North Carolina also offers self-funded programs for those who do not meet typical insurance criteria, do not wish to use their insurance for weight loss surgery, who wish to proceed without the constraints of their policy, or who have a bariatric exclusion in their coverage.

Types of Bariatric Treatment

We offer several types of bariatric treatment services, including:


  • Sleeve gastrectomy: A portion of the stomach is removed to create a banana-like shape.
  • Roux-en-Y Gastric Bypass: A portion of the stomach is detached and an egg like pouch is created with the top portion of the stomach which is then connected to a Y shaped bypass of the small intestine.
  • Single anastomosis duodenal switchn (SADS): A sleeve gastrectomy is performed, then the small intestine is looped to create a new single connection with a shortened track. Also known as SADS, SIPS, Loop DS, or SADI.
  • Duodenal switch (DS): A sleeve gastrectomy is performed, then the small intestine is reconnected similarly to the gastric bypass, in a slightly different configuration.
  • Gastric band: A adjustable device is surgically placed around the top portion of the stomach and is connected to a port under the skin where the device can be tightened or loosened with injected fluid during an office visit.
  • Secondary, or Revisional Procedures:
    An additional procedure may be deemed appropriate for a patient who has developed an issue with a prior bariatric surgery such as sever reflux disease. It may also be an option for a patient who has not achieved adequate weight loss through a primary procedure despite appropriate lifestyle modifications. Revisional procedures are unique to each individual situation but some examples include gastric band removals, sleeve to SADS, or reevaluation of a previous procedure.


  • Medical weight management: Our bariatrician works with you to tailor your non-surgical medical weight management using several tools including evaluation and management of medications, nutritional counseling, physical therapy, exercise classes and trainers, and psychological support.
  • Intragastric balloon: A balloon in temporarily placed into the stomach non-surgically. Nutrition and psychological counseling aid in behavior modifications to achieve long term results.
  • Intragastric Balloon
  • Medical Weight Management

We also offer non-surgical procedures, like the intragastric balloon, and a non-surgical medical weight management program with our Bariatrician, Dr. Kajal Zalavadia. The above surgical criteria does not apply to these options.

Our providers perform the following procedures:

  • Gastric Band
  • Intra-Gastric Balloon
  • Gastric Bypass
  • Duodenal Switch
  • Single Anastomosis Duodenal Switch
  • Sleeve Gastrectomy

Could bariatric surgery be a good fit for you?

Bariatric treatments offer a tool to aid you in your weight loss journey. Many patients successfully lose weight after these procedures through maintaining healthy lifestyle changes. Surgery is not a “quick fix” for achieving long-term weight loss success, it is a tool to be used appropriately and requires hard work and careful follow-up with your bariatric care team.

If you believe you can benefit from bariatric surgery, we’ll be happy to discuss these options and tailor a treatment plan to suit you. To help you learn more, you can register for one of our live seminars or our online webinar to better understand the surgical options available and the process towards weight loss surgery.