I'm in the same boat. I developed motility issues after my VSG in 2014, on Monday I was given a revision to RNY to try to tackle the GERD issues before they continue on with further treatments. What I understand at this point is that they have to take baby steps trying to minimize the impact of these complications by medication (do you have spasms at all?), or by surgical means. I was told that there's no guarantee any of these procedures would actually work. You may just have to wait and see what they throw at you. Ultimately I was warned that sometimes we just have to end up going with TPN when other treatments fail. It's a wait and see game.