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What is most common reason people revise from VSG to RNY?

I was scheduled to have RNY surgey back in October and days before surgery it was cancelled due to some unusual test results. I have severe GERD and therefore RNY was presented as my only option. I am now seeing a new surgeon and at my first apt he suggested that the sleeve might be a possibility but he wanted to consult with my GI specialist and he said we could always revise to RNY if needed. I really do not want to have surgery twice so I am curious to hear from those who have had revisions from sleeve to bypass what the reason was.

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I went in asking to have the sleeve but was experience bad bout of acid reflux that day and she said she really did not recommend the sleeve because it can make the acid reflux worse. It took me a while to come around to the idea of bypass, but I am finally there. I really don't want to have a revision later either and plus I'm tired of the acid reflux and given bypass can essentially cure that, then I am ready to go with bypass. (PS - those I have known that had the revision was due to either reflux and/or weight gain.)

I had the sleeve to RNY revision because after my sleeve my reflux got really bad. Having to have surgery twice was no fun. I would really consider having RNY if you already have reflux.

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