I have acid reflux from medications for respiratory issues. For me it is permanent and I went with RNY. I had dumping once since surgery and it makes me think of the flu. The runny poops is the way my dumping went. Once you get past it you make sure to avoid it a second time. Knowing myself I would have found the work arounds for the sleeve. The RNY is harder to cheat on. Your body makes you pay attention. Good luck on your research and blessings for your decision.