Caution against revision to sleeve because of GERD?

Just want some feedback. Banded in 2013, and never saw great success. However, I didn't gain weight, and for me, that's a minor victory. When the band was way too tight, yes, I had GERD....The band is totally unfilled now, and I am fine.

My doctor did a EGD and the band had "migrated to the esophageal junction". My question is:

1. My GERD seems to only happen with a very, very tight band that was ill placed. Should I still be leary of the sleeve?

2. Only options I have here in town to my knowledge are sleeve and band. I already had the band. I want to get to my goal weight (160), so I have about 50 pounds. I know I will lose more slowly than first timers. I am ok with that.

Anybody here have a similar story and have success with sleeve?

You will find people successful with the sleeve, but stats indicate 30% reflux....so 30% risk of needing a second revision....that is significant...what is your risk tolerance? I am curious that bypass is not an option...it is usually the first and best choice after gerd and is generally still considered the gold standard.

My one caution is that the band more often than not caused damage while it is in. Mine damaged my esophagus, it leaves scar tissue, can stretch the esophagus, adhere to organs etc. Generally until a surgeon goes in, they don't know what they will find. I strongly suggest you find and go with surgeon who has done a lot of revisions for that reason. I'm already concerned that there isn't anyone who does bypass? So if your situation dictates it is the best option while you are under, it isn't available to you. That would be a deal breaker for me. I already made one bad (shortcut) decision getting the band to begin with.

I travelled out of state to my revision surgeon, because he'd done hundreds of revisions. He was able to thoroughly explain the kinds of issues he could come up against and what the recommended course would be, so I could sign off on it before surgery or indicate my preference.

I ended up going with bypass at the very strenuous recommendation of my surgeon with sleeve as a backup should scar tissue prevent the bypass.

Luckily I got my bypass.