All liquid diet before a Nissen Fundo.

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New Member

Date Joined Aug 2010
Total Posts : 13
   Posted 8/15/2010 4:48 PM (GMT -6)   

Hi still new to this and a scaredy cat, scheduled for a full wrap Nissen fundoplication on Friday the 20th!  Did anyone else’s Doctor make them go on an all liquid diet prior to the surgery?  What is the thought process?  Does anyone know if there is a medical indication for all liquids for a week before the surgery? 


I was 55 lbs overweight, mostly due to long, long term prednisone use.  I saw my surgeon on 8/8 and he said he wanted me on an this all liquid diet beginning yesterday for the full week before my surgery in hopes that I would lose 10 - 15 lbs.  He asked me to use his bariatric program's powdered shake mix, 3 x per day for a total of 360 calories and then a liquid diet. That's all he told me.  Eventually I spoke to the nutritionist and she said I should have 5 - 6 shakes a day and add fruit to some of them with a caloric intake goal of approximately 800 calories.    Yesterday I tried the mix and two sips went down and those sips and things I ate as a kid came right back up. Barfed for about 20 minutes EEEEWWW.  smhair It was the most horrible tasting, horrible smelling anything I've ever put into my mouth .  My husband took the nutrition label to the store with him and came back with Slim Fast vanilla (palatable with mango, peach and pineapple) and Cappuccino (oh yummy).  Believe it or not the slim fast is as nutritionally sound as the hospital mix, just a very slight differences in fillers and slim fast has sugar instead of aspartame. Since the doc and the nutritionist didn't agree on how to get those 800 calories, I am winging it.  In anticipation of this all liquid diet pre-op, I spent all of last week on about 900 - 1000 calories/day with my usual diet and I've lost 8 lbs. Does anyone have any suggestions or advice as far as pre-op diet?

Regular Member

Date Joined Apr 2010
Total Posts : 234
   Posted 8/15/2010 5:00 PM (GMT -6)   
Sorry doll I don't have any suggestions but I just wanted to say you'll be fine and all the best to you. Look forward to hearing how you get on.

New Member

Date Joined Aug 2010
Total Posts : 13
   Posted 8/15/2010 5:18 PM (GMT -6)   
Thanks Moo'sMum. This forum has really eased my mind and its wonderful "talking" to people who know that its difficult to live with GERD.

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 8/15/2010 7:46 PM (GMT -6)   
Hi Kittehmom, easy for a surgeon to prescribe an unpalatable liquid diet, then walk away to a steak dinner. That's what's great about this forum...these are the people who've experienced what you're going through. We don't have medical expertise, but we do have lived it. I'm so glad you found something that you can drink more enjoyably.

I'm certain there have been other forum posts regarding a liquid pre-op diet for weight loss. I'm sure people will be by soon with shared experiences and ideas. It's not that much longer, so just take it a day at a time. Don't look at the entire time stretching until Friday. Just today, this hour, this moment.

You don't have a choice here, Kittehmom. With your asthma issues, you've got to give this surgery a try. You will do well, and once you've recovered, I'm sure you'll find your lungs greatly improved. It will all be worth it in the end.

I'm glad you've joined us, and we'll be here to cheer you on both before and after your surgery. yeah yeah yeah yeah Hang in there, and post any questions or concerns you might have. If you just want to vent your frustration or discuss your last minute worries...we're here for you.

Be sure to ask your surgeon for all your pain meds in liquid form. Also get some liquid Motrin or Tylenol to use after surgery when your pain subsides and you don't need the narcotic pain meds, but want something for the pain. (There isn't all that much pain...)

After the surgery make sure you walk a lot to get rid of the gas inside your gut. They pump your abdomen with CO2 to open it up and make it easier to do the repair.

Don't drink out of straws after the surgery--it introduces extra air into your stomach. After my surgery, the hospital staff was constantly offering me drinks with straws. They even had a carbonated ginger ale on my tray the next morning--carbonation is a no-no until you find out what you can tolerate. You have to educate yourself, and be your own advocate.

Again, don't worry. You'll do just fine. It's lots scarier to hear about it than it is to go through it. If you expect the worst, you'll be pleasantly surprised. Did you check out the re-posting of my post-surgery journal on Rhumaan's thread? It would give you an idea of one person's experience.

Every surgeon is different, and they seem to all have their preferred protocol. Mine seems to have been one of the most liberal regarding eating. He puts more responsibility on his patients to make good food choices in recovery. It worked for me. Unfortunately, though, that lung infection didn't!

Good luck with your crash liquid diet!
No question is stupid, so ask away!
Denise turn

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 8/15/2010 7:59 PM (GMT -6)   
My surgeon just said no food or water after midnight the day before the surgery. I was so nervous the day before I barely ate. I woke up so thirsty after the surgery all I could say was "pain" and "thirsty". :D
They gave me pain meds and ice for my lips when I got back to my room. After I was fully awake they gave me a popcicle. (Yum!)
It really wasn't so bad of a surgery. My stomach was a little tender for a few days, but I only needed pain medicine to sleep for the next three nights.

Problems too numerous to name. :)

Veteran Member

Date Joined Oct 2009
Total Posts : 5028
   Posted 8/15/2010 9:00 PM (GMT -6)   
If you have too much fat in the area around the esophagus it's hard for them to dissect the esophagus down, make it long enough, for the wrap, and it's hard to find the vagus nerve which runs along there. They're not trying to fill you up with fluid, just fill you up with non-caloric stuff so you feel full. The kidneys will take care of excess fluid anyway.

They may want you to do a half bowel prep the night before surgery too. Like before colonoscopy. That's to empty the gut so it's not in the way of working in there.

Regular Member

Date Joined Jul 2009
Total Posts : 199
   Posted 8/16/2010 11:03 AM (GMT -6)   
If you have weight issues that is the reason why you were told to go on that diet. I did not have to do that but was only 40 pounds over weight but then again I'm 6ft tall so that not much. I was 217 pounds. I would stay away from slim fast or any other type of premixed protein drinks. A lot of those are packed with carbs which will actually make you gain weight. Instead go to a nutrition center and by whey protein and mix it in with oatmeal topped with berries and bananas. A "liquid" diet doesn't necessarily mean liquids only. It means they want you to cut out that fat out of your diet as much as possible. They say "liquid" because they don't want you to eat the solids like red meat, burgers, and fast food. There are plenty of foods you can eat that will fill you up and give you energy through the day. You might as well get used to it because you will have to be on that diet after your surgery anyways.

I went through the surgery 1 year ago and it was the best thing to ever happen to me post GERD. You will be fine.

Take care

Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 8/16/2010 4:55 PM (GMT -6)   
Not special pre op diet for either of my Nissens. Just couldn't eat or drink after midnight both times. First one was the worst for that because my surgery wasn't until 2:30pm. My redo was at 8am and I had almost 3 hours to drive. Good luck and we will be here sheering you on!

Take care,
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
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