Hi, I live in Canada and have severe Gerd. I have also had a gastroplasty 14 years ago. I am on the lastest medications which after awhile become ineffectual, purchased a $9000 electric bed to elevate my upper torso and eat healthy, and try to stay away from food triggers. I will stop eating hours before bed and i still have acid spewing out of my nose and mouth 1 - 4 times per night. Sometimes hours after Ive gone to bed. I have been scoped, do not presently have Barrets esophagus and had esophageal motility tests done. I do have peristalsis in 90% of solicited swallows, but most contractions are of low amplitude. There does not appear to be any surgical options for me available here in Canada due to my bariateric surgery. Please help. Thank you, Claudia