For the past six months I was setting myself up for the Sleeve, but then I had my endoscopy (performed by my bariatric surgeon). He found polyps at the bottom of my stomach and I described reflux, although he did not see a hiatal hernia or esophagitis. I've been taking prilosec (ppi) every day for well over 10 years. It covers my reflux 97% of the time. Occasionally, I get breakthrough reflux and antacids generally help. Now, I do hate reflux, but there are many reasons why I prefer the Sleeve. The biggest reason why I prefer the sleeve is that the idea of dumping syndrome is Freaking me out!! Is there anyone out there that has "managed" gerd with a ppi, that has chosen the sleeve? Am I making a big mistake by holding onto the idea of the sleeve?