Bile Reflux with SIPS

Looking at Dr K's diagram of this procedure it looks to me like bile reflux is possible if the pyloric valve is weak at all.

I don't want to hijack this thread but Dr k warned us to make sure we don't get a loop with Cameron's upcoming gastroparesis surgery as bile reflux is likely. I know this procedure is different so I am not sure if the risk is the same.
 

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