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.

R U OK Day is a reminder that sometimes the most important thing we can do for someone isn't medical, it's human.Behind ...
10/09/2026

R U OK Day is a reminder that sometimes the most important thing we can do for someone isn't medical, it's human.

Behind every patient I see, there's a life outside the clinic. Stress, health challenges, and difficult diagnoses can weigh heavily, and often the people carrying that weight don't say so unless someone asks.

You don't need the perfect words. You just need to ask the question, then actually listen to the answer.

If someone's been on your mind lately, today's a good day to reach out. So is tomorrow, and every day after that.

- Dr Manju

08/09/2026

Reflux, asthma, and a chronic cough - three things that seem completely unrelated, but show up together far more often than most people realise.

Patients are usually treated for each one separately. An inhaler for the asthma. Cough medicine for the cough. Antacids for the reflux. But when these three keep appearing together, there's often a connection worth looking at.

Persistent, overlapping symptoms like these are best worked through with an Upper GI surgeon for proper assessment.

Here's what makes Barrett's Oesophagus tricky. Sometimes it looks exactly like ordinary reflux. Sometimes it looks like ...
04/09/2026

Here's what makes Barrett's Oesophagus tricky. Sometimes it looks exactly like ordinary reflux. Sometimes it looks like nothing at all.

Persistent heartburn, difficulty swallowing, or food coming back up can all be signs. But some people with Barrett's have no symptoms whatsoever, which is exactly why it can go unnoticed for years, especially in people who've lived with GORD long term.

The only way to know for certain is an upper endoscopy. A thin camera gives a clear view of the oesophageal lining, and small tissue samples are taken and analysed for Barrett's cells and any early precancerous changes called dysplasia.

Getting that answer early matters. It's the difference between simply monitoring a condition and catching something before it has the chance to progress.

If you've had reflux for years and never been properly evaluated for Barrett's, that's a conversation worth starting.

01/09/2026

Gallbladder attacks don't come out of nowhere - for most people, they're triggered by a specific type of meal.

Fatty and fried foods are the biggest culprit. High-fat meals cause the gallbladder to contract strongly to release bile, and if stones are present, that contraction can trigger sudden pain.

Large, heavy meals in general put extra demand on the gallbladder, even if the fat content isn't extreme.

None of this means these foods are off-limits forever. But if you've had unexplained pain after a heavy or fatty meal, it's a pattern worth paying attention to.

Oesophageal cancer often develops quietly, and the symptoms are easy to attribute to something else entirely.Difficulty ...
28/08/2026

Oesophageal cancer often develops quietly, and the symptoms are easy to attribute to something else entirely.

Difficulty swallowing - food feeling like it's slowing down or catching on the way down.

Unexplained weight loss - without any change to diet or exercise.

Chest pain - which can sometimes be mistaken for heartburn or even a heart-related issue.

Persistent indigestion - that doesn't settle with over-the-counter medication.

Hoarseness - a change in your voice that lingers without an obvious cause, like a cold or overuse.

On their own, none of these symptoms confirm cancer. Most of the time, they won't. But when they're ongoing, progressive, or don't have a clear explanation, they're worth having properly investigated rather than managed at home.

Early detection continues to be the single biggest factor in outcomes for oesophageal cancer.

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.

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