Welcome to Bariatric Solutions and the Division of Minimal Access & Bariatric Surgery, a part of Greenville Health System – Department of Surgery. Our medical professionals are dedicated to providing all aspects of safe, effective weight loss. We are the most experienced group offering weight loss surgery in the area, and our bariatric surgery expertise draws patients from Greenville, Asheville, Columbia, and throughout the Southeast. From comprehensive pre-op medical evaluations to life-long follow-up care, our bariatric surgery program features everything a patient will need to be successful before AND after surgery.
Our mission is to relieve suffering from morbid obesity using all available modern resources to provide safe, effective, long-term results. We strive to exceed the expectations of our patients, their families and their primary care doctors, and we set the standard for high-quality, comprehensive weight loss services in the region.
To achieve safe, effective, long-term results, patients don’t need a surgeon alone; they need a comprehensive team approach. Our weight loss surgery program includes extensive nutritional counseling, psychological counseling, and group support along with exercise, encouragement and long-term follow-up care. Surgery is only one piece of the puzzle. The most important piece of the puzzle is YOU
Want to know more? Plan to attend our information session. Click Here
ASMBS Bariatric Surgery Center of ExcellenceBariatric Solutions and Hillcrest Memorial Hospital have achieved the prestigious designation of being a Center of Excellence of the American Society for Metabolic and Bariatric Surgery (ASMBS). As a result, referring physicians can rest assured their patients receive safe, comprehensive care that considers the “whole person,” including physiological and psychological needs.
Meet our PhysiciansBariatric Solutions, founded and led by fellowship-trained surgeons Eric Bour, MD, FACS, FASMBS and John Scott, MD, FACS, FASMBS employs a full-time psychologist and two dietitians – all specializing in bariatric care. Even among other Centers of Excellence in the nation, this degree of staffing and bariatric surgery specialization is intense, and the high-level of care draws weight loss surgery patients from Greenville, Spartanburg, Anderson, Asheville, Columbia, and throughout the region.
Eric S. Bour, M.D., FACS, FASMBS– Medical Director, SurgeonDr. Bour has been providing general, bariatric and laparoscopic surgery services to the Upstate for over a decade. He is a Fellow of the American College of Surgeons and the American Society of Metabolic and Bariatric Surgery, and is certified by the American Board of Surgery.
Dr. Bour received a B.A. from Emory University and then attended Pennsylvania State University Medical School. He completed a surgical residency and post-doctoral research fellowship at the Pennsylvania State University Milton S. Hershey Medical Center. He served as academic faculty at the Pennsylvania State University Milton S. Hershey Medical Center and University of South Carolina before moving to Greenville.
John D. Scott, M.D., FACS, FASMBS– Surgeon
Dr. Scott was a biology undergraduate at Baylor University and holds an M.S. in molecular cell sciences from the University of Memphis. He attended medical school at the University of Tennessee Health Science Center in Memphis, graduating in 2001. In 2006, he completed his residency in General Surgery at Greenville Health System. Dr. Scott served a fellowship in advanced minimally invasive and bariatric surgery at the University of Cincinnati. During his fellowship, he gained experience in weight loss surgical techniques and advanced training in minimally invasive hernia, gastrointestinal and endocrine surgery.
Dr. Scott joined the University of Tennessee faculty in 2007. He decided to return to his surgical home in Greenville in 2008. His clinical practice and academic work concentrate on minimally invasive surgery. He has presented regionally and nationally on laparoscopic and robotic surgery and continues to publish research on minimally invasive surgery.
He is board certified in General Surgery by the American Board of Surgery and is active in several surgical organizations. He and his wife have two daughters.
A 360° Approach to Care
Our Bariatric Solutions surgeons perform three surgical procedures for weight loss.
- Laparoscopic Divided Roux-en-Y Gastric Bypass
- Laparoscopic Sleeve Gastrectomy
- Laparoscopic Adjustable Gastric Banding (REALIZE™ Band)
- Comprehensive pre-surgical evaluations
- Complete nutritional assessment and unlimited pre-surgery and post-surgery nutritional support from our two experienced registered dietitians
- Complete pre-surgery psychological evaluation and post-surgery psychological support
- Weekly pre-surgery and post-surgery group support sessions run by the psychologist, a surgeon or a dietitian
- A dedicated office staff experienced in the needs of bariatric patients
The Bariatric Solutions office adjoins Nutrition Solutions, LLC, an independent business that includes supervised weight loss programs, nutrition counseling, healthy cooking classes and other educational opportunities. Nutrition Solutions’ retail store sells vitamins, supplements and healthy prepared meals. It recently launched an online system that allows patients to order from the healthy meal menu, which is planned by a certified bariatric chef, from the convenience of their homes or offices.
Beyond professional counseling, our practice has an emphasis on providing patients with a strong peer support network to help them get through the critical pre- and postoperative phases of bariatric surgery. It’s common to see a full parking lot Tuesday and Thursday evenings when we host support groups and educational sessions at our office off Woodruff Road. Demand has been so great – paralleling the surge in the practice’s patient base, which grows by about 300 patients annually – that we recently added a weight loss surgery support group that meets during the day on Tuesday.
WEIGHT LOSS SURGERY PROCEDURES
Roux-en-Y Divided Gastric Bypass
What is a Gastric Bypass and how does it work?This operation converts the stomach into a very small pouch that holds less than an ounce of food. It also rearranges the intestinal tract to cause malabsorption of fats, limiting the amount of food that can be eaten (leaving the patient feeling full and satisfied on very little food), and further acts to reduce absorbed calories.
The Roux-en-Y gastric bypass has been performed for over 40 years. Published studies demonstrate the safety and efficacy of this operation after 20 years of follow-up. It is the most common bariatric operation performed in the U.S. and is endorsed by the American College of Surgeons (ACS), American Society for Metabolic and Bariatric Surgery (ASMBS), Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), National Institutes of Health (NIH) and many others. Well over 175,000 Roux-en-Y gastric bypasses are performed annually in the U.S.
The procedure has become so common because it works. More than 90 percent of patients maintain significant, long-term weight loss with minor or no complications. Many studies have shown this operation to lessen or eliminate co-morbid medical problems and significantly reduce an obese person’s chance of death. In a recent study, the overall death rate after five years in obese individuals who had gastric bypass surgery was 90 percent less than in similar individuals who did not have gastric bypass (Ann Surg. 2004 Sep;240(3):416-23).
The gastric bypass works three ways:
- First, it reduces the amount of food you can eat at once (usually no more than four to five ounces).
- Second, it diverts or “bypasses” the food past the stomach and first section of intestine, resulting in delayed digestion of food. Then, bile and pancreatic juices are added (the Roux-en-Y part) to allow for digestion and absorption of nutrients.
- Third, the operation produces “dumping syndrome” if unhealthy foods are eaten. This syndrome may result in abdominal pain, cramps, nausea, vomiting or diarrhea. Needless to say, most patients learn to avoid unhealthy foods.
Results after Gastric Bypass
The result is that patients must eat proper amounts of proper foods at proper intervals and at the proper speed. In combination with exercise, psychological support and nutritional counseling, the results can be amazing. It is not unusual for severely obese patients to lose 75-85% of their excess weight in the first year following surgery.
LAPAROSCOPIC Vertical Sleeve Gastrectomy
What is a Vertical Sleeve Gastrectomy and how does it work?The obese individual's normal stomach has the ability to hold great amounts of food, about 2000-3000 milliliters (2-3 quarts) in capacity. This allows a higher caloric intake than can be expended in energy each day. The extra calories not burned by the body are stored as fat. Vertical sleeve gastrectomy surgery was developed to counteract this process. This operation divides the stomach to create a “sleeve” along the inner curve of the stomach that holds approximately 60 milliliters (two to three ounces). This limits the amount of food that can be eaten (leaving the patient feeling full and satisfied on very little food). In addition, the part of the stomach that is removed is where the hormone that causes hunger (Ghrelin) is produced. Consequently, the caloric intake and the feeling of hunger are reduced, and weight loss will usually follow. On average, patients will lose about two thirds of their excess weight in one year. Weight loss will continue during the second year at a slower rate.
The vertical sleeve gastrectomy procedure consists of separating the stomach into two sections using parallel rows of titanium staples. The larger portion of the stomach is removed and discarded. The remaining portion of the stomach (the “sleeve”) is long and narrow and holds about 3 ounces. The staples remain fixed and do not migrate. The sleeve is made so small because it will eventually stretch somewhat. By making it very small at first, the final size will still be quite restrictive.
Results after Sleeve Gastrectomy
The result is that patients must eat proper amounts of proper foods at proper intervals and at the proper speed. In combination with exercise, psychological support and nutritional counseling, the results can be amazing. It is not unusual for severely obese patients to lose 65-75% of their excess weight in the first year following surgery.
The VERTICAL SLEEVE GASTRECTOMY
The VERTICAL SLEEVE GASTRECTOMY
Laparoscopic Adjustable Gastric Band
What is an Adjustable Gastric Band and how does it work?The AGB is an adjustable band placed around the upper stomach to create a small 15 ml (half ounce) pouch with a narrowed outlet. Outlet size can be adjusted by injecting saline into a small reservoir (port) connected to the band and placed under the skin at the time of surgery.
The band induces weight loss by restricting food consumption. The pouch fills quickly with solid food and empties slowly to relieve hunger and produce a feeling of fullness.
What are potential advantages of the AGB?
- No cutting or stapling of the stomach is required
- Outlet size can be adjusted by injecting saline into the band to loosen or tighten the opening
- AGB surgery is less invasive than gastric bypass surgery
Results after AGB
The result is that patients must eat proper amounts of proper foods at proper intervals and at the proper speed. In combination with exercise, psychological support and nutritional counseling, patients lose an average of 45-50% of their excess weight in the first year following surgery.
The REALIZE Band
The REALIZE Band around the stomach
COMPLICATIONS OF WEIGHT LOSS SURGERYFirst and foremost, weight loss surgery performed by experienced surgeons in a comprehensive program is very safe. However, as with any surgical procedure, weight loss surgery does have associated complications. These complications vary with the different surgical procedures, and will be discussed in much more detail during your visits to the office.
Overall, Bariatric Solutions has a complication rate lower than the national average for weight loss surgery procedures. In addition, the program has a mortality rate that is less than half of the national average for these types of procedures.
Successful Outcomes: Weight Loss and More
Bariatric Solutions’ comprehensive approach to care has led to impressive improvement and resolution of weight-related medical comorbidities.Type 2 Diabetes resolves in over 85% of patients who undergo gastric bypass; the results are slightly less with sleeve gastrectomy (75%), and gastric banding (40%). Similar improvement and resolution in hypertension, obstructive sleep apena, and elevated lipids/cholesterol after each procedure.
Expanding Services, Innovative TechniquesAs a Center of Excellence, Bariatric Solutions often is invited to be an early implementer of the latest bariatric technologies and materials. In 2008, we were among the first in the nation to use the new REALIZE™ Adjustable Gastric Band from Ethicon Endo-Surgery Inc. In fact, Bariatric Solutions is recognized as a best practice site in Ethicon’s “Victory Division,” which means that bariatric specialists across the Carolinas, Tennessee, Virginia, Washington, D.C., Maryland and parts of Georgia are encouraged to visit Bariatric Solutions to see the latest weight loss surgery techniques and technologies in action.
Dr. Bour and Dr. Scott are exploring the possibility of adding “scarless surgery” to the practice’s portfolio. This innovative weight loss surgery approach involves accessing and operating on the gastric area with tiny endoscopic surgery tools inserted through the mouth.
Bariatric Solutions has recently developed the PRO-Teens program offering treatment of adolescent patients who suffer from morbid obesity (www.goproteens.com).
Our practice is also enrolling patients desiring surgery as treatment of Type 2 diabetes, even in the absence of morbid obesity. This type of procedure is know as “metabolic surgery”, and shows promise as the first known surgical therapy for this devastating disease.
Bariatric Solutions is proud to be a leader in providing comprehensive weight loss surgery services. Our bariatric surgery expertise draws patients from Greenville, Spartanburg, Anderson, Asheville, Columbia, and throughout the Southeast. For more information, or to refer a patient, please call (864) 676-1072 or visit our practice website at www.umgbariatricsolutions.com.