I had the sleeve to bypass revision in June; but not for weight loss. I had a major hiatal hernia repair with the sleeve and 2 1/2 years later started having trouble eating without getting nauseous. Endoscopy revealed severe gerd and hiatal hernia return. Surgeon gave me the option to do another hernia repair and tidy up the stomach from the hernia pulling on it, or convert to bypass which is more successful at relieving gerd. I never wanted bypass in the first place, so chose the repair. One year later, my gerd was so severe that I couldn’t eat and no medications helped. So, I ended up with a bypass. I have lost about 40 more pounds and gerd is gone, but I have difficulty getting food down. With three surgeries, the scar tissue has caused a stricture. Had the EGD last week with the balloon to open it up a bit. No big deal to the do procedure.