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Bariatric surgery

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Our weight-loss surgery programs are recognized for quality care

Bariatric surgery can be a powerful tool for weight loss. Shedding excess weight after bariatric surgery also can bring powerful health benefits, according to a report published by the U.S. National Library of Medicine at the National Institutes of Health. Those benefits can include living longer and improving your quality of life.

At Novant Health, bariatric surgery is available within an ecosystem of healthcare services that include comprehensive evaluation, education and emotional support. Helping you prepare for surgery and providing care afterward helps ensure your procedure is successful and you reach your wellness goals. Talk to your primary care physician about your interest in our services, or contact one of our bariatrics clinics to find out if bariatric surgery is right for you. For those who are eligible, weight loss surgery can help you pursue the lifestyle you’ve wanted.

Potential benefits of weight loss surgery can include:

  • Reversing type 2 diabetes, high blood pressure and sleep apnea
  • Fewer deaths due to heart disease
  • Fewer deaths from diabetes and related conditions
  • Reducing breast and endometrial cancer rates
  • Relieving joint and back pain

Bariatric services and procedures

Locations for these procedures:
All locations: Sleeve gastrectomy, roux-en-Y gastric bypass, gastric band removal
Winston-Salem area: Sleeve gastric bypass
Charlotte area: revisional surgery, biliopancreatic diversion with duodenal switch.

Restrictive procedures

Restrictive procedures limit the amount of food and drink your stomach holds. Your board-certified bariatric surgeon will create a stomach “pouch” that is much smaller than your original stomach. The reduced size means less food can enter, so you will feel full more quickly. Restrictive procedures include:

Malabsorption procedures

Malabsorption procedures change the way your body digests food. Your board-certified bariatric surgeon creates a “bypass” around part of your small intestine, meaning your body absorbs fewer calories during the digestion process. These procedures are often done in conjunction with a restrictive procedure. Malabsorption procedures include:

Revisional procedures

If you have previously had bariatric surgery but have not achieved the weight loss you were expecting or have been unable to maintain that weight loss, revisional surgery could set you on the road back to success. Revisional procedures include:

Novant Health’s bariatric surgery centers are accredited as comprehensive centers under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). Each of Novant Health’s accredited centers must meet the highest standards for patient safety and quality of care.

Locations with ACS accreditation

Learn more about the American College of Surgeons accreditation program

ACS accreditation seal
    • Novant Health Presbyterian Medical Center
    • Novant Health Matthews Medical Center
    • Novant Health Kernersville Medical Center
    • Novant Health Rowan Medical Center
She lost 115 pounds after bariatric surgery. Commitment was key.

Is bariatric surgery right for you?

Candidates for bariatric surgery have a body mass index (BMI) greater than 40, or a BMI between 35 and 40 with other obesity-related health problems such as:

The best weight loss surgery candidates are committed to making lifestyle changes after surgery to maintain weight loss through diet and exercise.

What is BMI?

You may be wondering how to determine if you’re overweight or obese and what is the difference? Healthcare professionals use a measurement called body mass index (BMI) to calculate the percentage of fat in your body using your height and weight. BMI is an estimate, not an exact measurement, and it differs based on age and gender.

For adults, a BMI of:

  • 25 – 29.9% is considered overweight
  • 30% and over is considered obese

What is high blood pressure?

We take your blood pressure to measure the force of blood flowing and circulating through your heart and arteries throughout your body. The body's organs need oxygen to survive and it is carried through the body by the blood. Each heart beat creates pressure that pushes blood through a network of arteries and veins.

This blood pressure --- is the result of two forces. The first force occurs as blood pumps out of the heart and is represented by the systolic number, usually the top number when you receive your blood pressure results. The second force is created as the heart rests between heart beats, and is represented by the diastolic number, or the bottom number of your blood pressure results.

What is diabetes?

There are three types of diabetes. With prediabetes, your body becomes resistant to insulin and cannot process sugar from the bloodstream as it should. This causes the levels of blood sugar to become higher than normal. Over time, having too much sugar in your blood puts you at risk for developing type 2 diabetes.

Types of diabetes
  • Type 1 diabetes - Occurs when the pancreas stops making insulin. It’s usually diagnosed in children and accounts for 10% of people with diabetes. It’s also referred to as juvenile diabetes and sugar diabetes.
  • Type 2 diabetes - Occurs when the pancreas continues to produce insulin but loses effectiveness. Type 2 diabetes affects 90 percent of people with diabetes and it usually develops in adulthood.
  • Gestational diabetes - A temporary condition that develops in pregnant women with no previous history of diabetes. Most cases clear up after the mother has delivered her baby, but it involves an increased risk of developing diabetes for both mother and child. The American Diabetes Association (ADA) recommends screening pregnant women at risk for type 2 diabetes at the first prenatal visit at 24 to 28 weeks of gestation.

What is sleep apnea?

A chronic disorder that causes people to stop breathing several times during the night. These episodes may last 10 seconds or longer. A person with sleep apnea may or may not be aware of snorting, gasping, or waking up short of breath, depending on how deeply they are sleeping. During sleep apnea a drop in blood oxygen levels occur, the heart rate increases and a burst of stress hormone (cortisol) is released. This activity disrupts good sleep often slightly awakening the body enough to resume breathing, but not enough to fully wake an individual.

Some of the causes of sleep apnea occur when the airway is obstructed or collapses such as due to excessive weight, loss of muscle tone due to normal aging, or during dreams when the muscle relax. Sleep apnea can cause major health risk such as exhaustion during the day causing one to fall asleep while driving or on the job, and it severe enough, it can be life threatening. It also increases risk of stroke and/or heart disease. The condition is often diagnosed by a physician through overnight sleep studies.

What is high cholesterol?"

Bad cholesterol is a fat-like substance in your blood that travels through your arteries and veins. High cholesterol is when it builds up in the walls of your arteries, and over time may cause, hardening of the arteries. This means that your arteries become narrow and blood flow to the heart is slowed down or blocked. If blood and oxygen cannot reach your heart, you may suffer a heart attack or stroke.

High cholesterol does not have any symptoms. Therefore, you will need to have your primary care provider check your cholesterol levels through blood tests.