I have had GERD for about 30 years, literally. I have been on some old school meds, and then on a PPI for about 19 years now. Even post VSG, and losing all my regain, my GERD persists. yes I am still taking a PPI. I've been on them all: Protonix, Nexium, Prevacid, Aciphex, etc.
I was told that after all my loss if it still persists then yes, RNY revision is my only option. I'm now 4.5 years post VSG and STILL hoping it will clear up...