I had an endoscopy done revealing bile reflux 3 years post VSG. I can say it was absolutely miserable I really couldn’t do anything without basically throwing up a little. I had issues with grazing so I opted for a DS instead of a Bypass but it instantly fixed the problem for me and I am so much happier. Typically a DS does not help with reflux but in my case it did and I feel like a person again. I would get the bypass.