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How can I prepare for Nissen fundoplication surgery safely?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am having surgery next week for reflux, Nissen fundoplication, and hiatal hernia repair. A week before surgery, what can I do to improve my chance of success and limit the chance of complications?

Can I take my Nexium (PPI) on the day of surgery, or should I stop now? Please help.

Thank you.

Answered by Dr. Erioli Braholli

Education:

General Surgery

Professional Bio:

Dr. Erioli Braholli is a General Surgeon and General Practitioner with 35 years of clinical experience. His field of interest is General and Internal Medicine. He studied General Surgery at the University of Tirane in 1989. He performs operations to treat or prevent diseases, repair damage caused by injuries, correct deformities, and improve the functions of the human body.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

There are no special measures you have to take for the surgery. Just maintain a light and watery diet for a week before surgery.

The last two days (especially the last one), you can take any laxatives such as magnesium sulfate to clean and empty your intestine so that surgeons will have less difficulty.

You can continue Nexium (Esomeprazole) until the last day. Do not take Nexium on the day of the operation because the stomach must be empty, and you will take all the drugs intravenously.

These simple measures are up to you. The others are up to the doctors. I wish you a successful operation and a fast recovery after that.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Can I use Magnesium oxide? Is that the same?

Thank you.

Answered by Dr. Erioli Braholli

Education:

General Surgery

Professional Bio:

Dr. Erioli Braholli is a General Surgeon and General Practitioner with 35 years of clinical experience. His field of interest is General and Internal Medicine. He studied General Surgery at the University of Tirane in 1989. He performs operations to treat or prevent diseases, repair damage caused by injuries, correct deformities, and improve the functions of the human body.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Yes, you can use that instead. Do not hesitate to ask for further doubts.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At January 22, 2017
Reviewed At December 20, 2025

Education:

General Surgery

Professional Bio:

Dr. Erioli Braholli is a General Surgeon and General Practitioner with 35 years of clinical experience. His field of interest is General and Internal Medicine. He studied General Surgery at the University of Tirane in 1989. He performs operations to treat or prevent diseases, repair damage caused by injuries, correct deformities, and improve the functions of the human body.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

General Surgery

Professional Bio:

Dr. Erioli Braholli is a General Surgeon and General Practitioner with 35 years of clinical experience. His field of interest is General and Internal Medicine. He studied General Surgery at the University of Tirane in 1989. He performs operations to treat or prevent diseases, repair damage caused by injuries, correct deformities, and improve the functions of the human body.

This doctor is not available for online consultations on the platform anymore.

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