I am a Bariatric patient suffering from 2 years with esophagitis grad B with GERD and suffering like hell with the burning sensation and regurgitation and not able to sleep in the night at all. I am also having swallowing issues and food is passing very slowly from the oesophagus. I did as per doctor suggestion manometry and the report I am attaching it here. Even a biscuit is giving me acidity. I was into PPI's for 2 years and finally it stopped working. Tried to do a crural repair of the hiatus hernia last year robotically didn't work and this year again the hiatus hernia is back with me. Request you to suggest me by reviewing the manometry report. As doctor suggested me to go for roux en y gastric bypass as there is no other option left with me. Awaiting for a valuable response on this asap which will help me to take an important decision of my life.