Dr Manju - Precision Upper GI Surgery Sydney NSW

Dr Manju - Precision Upper GI Surgery Sydney NSW Dr Manju is an Upper GI surgeon with expertise in Bariatric Surgery, Gastric and Oesophageal Cancer, Reflux, and other Upper GI conditions.

Dr Manju is committed to providing precision and personalised pathways towards excellent care. Are you in Sydney or South-Western Sydney, NSW, and seeking expert care for Upper GI disorders? Look no further than Precision Upper GI Surgery. Led by Dr Manju, our team specialises in a range of procedures including Gastric and Oesophageal cancer treatments, Gallstone/Gallbladder disease management, Ga

stro-Oesophageal reflux disease treatments, and advanced Weight Loss and Metabolic programs. We also offer solutions for Hiatus or para-oesophageal hernias, Achalasia and other oesophageal motility disorders, Barrett’s oesophagus, and provide comprehensive Gastroscopy and Colonoscopy services. For those seeking non-surgical weight loss solutions, we are proud to be the only clinic in Sydney SW offering the Allurion Gastric Balloon procedure.

25/08/2026

"How long until I'm back to normal?" It's the question on most patients' minds before gallbladder surgery.

Recovery isn't a single timeline either. It happens in stages, and how quickly you move through each one depends on factors like your age, fitness, and whether the surgery was planned or done urgently.

What I tell every patient before surgery is the same thing I cover in this video - the real, stage-by-stage picture of what to expect.

Everyone's timeline looks a little different, so it always comes down to your specific situation.

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A hernia isn't just one thing - it's a general term for when an organ or fatty tissue pushes through a weak spot in the ...
21/08/2026

A hernia isn't just one thing - it's a general term for when an organ or fatty tissue pushes through a weak spot in the surrounding muscle. Where that weak spot is determines the type.

The most common is an inguinal hernia, occurring in the groin. Then there's the umbilical hernia, near the belly button, and the less common femoral hernia, also in the groin but closer to the thigh.

Some hernias aren't present from birth - they develop later. An incisional hernia can form at the site of a previous surgical cut, and an epigastric hernia shows up in the upper abdomen, between the belly button and chest.

The common thread across all of them: a visible bulge, pressure, or discomfort that tends to get worse with straining, lifting, or coughing.

Not every type behaves the same way, and not every hernia needs the same approach, which is exactly why proper diagnosis matters before deciding what to do next.

18/08/2026

There are early warning signs of gastric and oesophageal cancer - and most people either don't know them, or brush them off as something else entirely.

They're often mild. Easy to explain away. And that's exactly why they get missed.

If any of these symptoms sound familiar, it's worth getting properly assessed by a qualified Upper GI surgeon.

Gallstones aren't evenly distributed between men and women - and the reason comes down to biology, not bad luck.Around 1...
14/08/2026

Gallstones aren't evenly distributed between men and women - and the reason comes down to biology, not bad luck.

Around 1 in 4 Australians over 50 has gallstones. Oestrogen raises the amount of cholesterol your liver puts into bile, while progesterone slows how efficiently your gallbladder empties. Combined, this gives cholesterol more opportunity to crystallise into stones - which is why women are affected at much higher rates than men.

Pregnancy, the contraceptive pill, and hormone replacement therapy can all add to this risk.

One thing worth knowing: a clear ultrasound doesn't always mean your gallbladder is fine. A condition called biliary dyskinesia can produce the exact same symptoms - pain, nausea after fatty food, indigestion - without any visible stones at all.

When surgery is needed, laparoscopic gallbladder removal is a well-established, low-risk procedure, and most people are home the same day or the next.

Ongoing symptoms shouldn't be managed with guesswork - a proper assessment from an Upper GI surgeon will tell you what's actually going on.

11/08/2026

Many people living with acid reflux wonder what changes they can make to help manage their symptoms.

Should you focus on your diet? Your weight? Or are there other factors to consider?

In this video, I explain what you need to know when looking at lifestyle changes for acid reflux and why understanding the cause of your symptoms is an important part of finding the right approach.

Watch as I break down some of the key considerations when managing reflux.

There are two types of hiatus hernia - and they don't carry the same risk.The more common type is a sliding hiatus herni...
07/08/2026

There are two types of hiatus hernia - and they don't carry the same risk.

The more common type is a sliding hiatus hernia, where part of the stomach and oesophagus slide up into the chest. This is usually behind ongoing heartburn, acid reflux, and that burning feeling after meals.

The less common type is a para-oesophageal hernia, where part of the stomach pushes up alongside the oesophagus instead. This one carries more risk - in rare cases, it can compress the stomach's blood supply, which becomes a surgical emergency.

Watch for persistent heartburn, difficulty swallowing, chest discomfort after eating, bloating, or an unexplained chronic cough.

None of these confirm a hiatus hernia on their own - but if they're persistent or getting worse, they're worth having properly checked.

04/08/2026

There's no single silver bullet for acid reflux - but there is a clear, evidence-based approach that works for most people.

In this video, we break down what actually helps:
➡️ Lifestyle first: smaller meals, staying upright after eating, and identifying personal triggers (common ones include caffeine, alcohol, and late-night eating)
➡️ Medication: proton pump inhibitors (PPIs) remain the most effective option for reducing acid production in moderate to severe cases, used under medical guidance
➡️ Investigation when needed: persistent or worsening symptoms may call for further testing to rule out other causes
➡️ Surgical options: for a smaller group of patients where lifestyle and medication aren't enough, procedures like fundoplication may be considered

The right approach depends on how often you're experiencing symptoms, how severe they are, and what's triggering them - which is why a proper assessment matters more than any one-size-fits-all fix.

If reflux is a regular part of your life, it's worth having it properly assessed.

One of the most common questions I get: "I have gallstones - do I need surgery?"The honest answer is: not always.Around ...
31/07/2026

One of the most common questions I get: "I have gallstones - do I need surgery?"

The honest answer is: not always.

Around 15–25% of people have gallstones, and roughly 70% of those cause no symptoms at all. Finding stones on a scan isn't automatically a reason to operate.

I recommend gallbladder surgery - a cholecystectomy - when gallstones or gallbladder inflammation are actually causing pain or other symptoms. Not simply because stones are present.

Here's something that surprises a lot of patients: your gallbladder isn't essential to digestion. Your liver continues producing all the bile your body needs, which is why most people adapt well to life without one.

When surgery is needed, my standard approach is laparoscopic keyhole surgery. Many patients return to light daily activities within one to two weeks, though recovery does vary from person to person.

If you've been told you have gallstones and you're unsure what it means for you, the right next step is a proper assessment - not automatic surgery.

28/07/2026

That lump-in-your-throat feeling is one of the most common things people get told is "just stress" or "just anxiety."

But it's also a well-recognised symptom that can point to something happening lower down in your digestive system - one that can sometimes show up without the classic heartburn or acid taste you might expect.

That's exactly why it gets missed so often, and why it's worth understanding rather than dismissing.

If you're a woman experiencing pain under your right ribs, nausea after fatty meals, or indigestion that antacids just w...
24/07/2026

If you're a woman experiencing pain under your right ribs, nausea after fatty meals, or indigestion that antacids just won't touch - your hormones may be part of the story.

Roughly 1 in 4 Australians over 50 has gallstones, and women are affected far more often than men. The reason comes down to hormones: oestrogen increases the cholesterol your liver releases into bile, while progesterone slows down how well your gallbladder empties. Together, that gives cholesterol more time and more reason to crystallise into stones.

Pregnancy, the contraceptive pill, and hormone replacement therapy can all raise this risk further.

Here's what many people don't realise: a normal ultrasound doesn't always rule out gallbladder disease. A condition called biliary dyskinesia can cause the exact same symptoms - without any stones showing up on a scan at all.

The good news is that when treatment is needed, laparoscopic gallbladder removal is one of the safest and most well-established procedures in general surgery, with most patients home within 24 hours.

If you're experiencing these symptoms, it's worth being properly assessed by a qualified Upper GI surgeon.

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