Dr Manju - Precision Upper GI Surgery Sydney NSW

14/11/2025

Could Your Throat Symptoms Be Silent Reflux?

Laryngeal reflux (LPR) happens when stomach acid and enzymes travel up to the throat and voice box, often without the classic heartburn you’d expect from GORD (Gastro-Oesophageal Reflux Disease).

Signs to watch for:
➡️ Hoarse voice or frequent throat clearing
➡️ Persistent cough or throat irritation
➡️ Sensation of a lump in the throat (globus)
➡️ Difficulty swallowing or chronic throat discomfort

Why it matters:
LPR can irritate the larynx, leading to swelling, discomfort, and long-term voice issues if untreated.

What helps:
➡️ Avoid acidic, spicy, or fatty foods
➡️ Eat smaller meals and don’t lie down immediately after eating
➡️ Manage stress and maintain a healthy weight
➡️ In some cases, medication (like PPIs) can reduce acid and soothe inflammation

When surgery may be considered:
If LPR doesn’t respond to medical treatment, is associated with active reflux on investigation, or occurs alongside a hiatus hernia, a fundoplication may be recommended to help reduce reflux and protect the throat.

Key takeaway: LPR isn’t just “heartburn in your throat.” Early recognition and simple lifestyle adjustments can protect your voice, throat, and airway health.

11/11/2025

Weight loss surgery is only one part of the story.

As an Upper GI and Bariatric Surgeon, I help patients with reflux, hernias, stomach and oesophageal issues — conditions that affect everyday life but often go unnoticed.

It’s about more than losing weight — it’s about regaining your health.

06/11/2025

Surgeons with an interest in Gallbladder, Liver, and Pancreas Surgery are invited to join the Sydney Upper GI Surgical Society (SUGSS) 2025 Meeting — “A FIGJAM in the Upper Abdomen.”

This year’s program dives deep into technical mastery and practical skills for surgeons at every level — from trainees to experienced consultants.

🔹 Refine your minimally invasive and robotic techniques
🔹 Learn how to expand your surgical practice
🔹 Master complex bile duct repairs and choledochal cyst excisions
🔹 Understand when — and how — to manage bleeding or convert a case safely
🔹 Discover what sets a true Master Surgeon apart

Featuring Dr Horacio Asbun and Dr Ahmad Abou Abbass, this one-day meeting on Saturday, 22 November 2025, promises valuable insights for every surgeon performing gallbladder surgery.

📍 InterContinental Hotel, Double Bay, Sydney
🎟️ Limited spots remain — visit https://f.mtr.cool/lcbdbjoryl to view the full program and secure your place.

03/11/2025

Most people focus on fat loss — but your gallbladder notices too.

When you drop weight quickly, bile can become unbalanced, and that’s when gallstones form.

It’s not just after surgery — any rapid weight loss can trigger it.

02/11/2025

One way to remember.

Do not let acid reflux get worse and dont let your hiatal hernia grow. They are interconnected and a dangerous combination potentially.

Get the Frighening Facts at
Get-Checked.org!
The Life You Save May Be Your OWN!

31/10/2025

Many of my patients come to me feeling frustrated or anxious about ongoing digestive issues, whether it’s reflux, hernias, weight loss or other upper GI conditions. I approach each case with the same care I would give my own family — listening, explaining, and supporting every step of the way.

From initial diagnosis and pre‑habilitation to surgery and follow‑up, my goal is to make the journey as clear and manageable as possible.

I focus on helping my patients regain their strength, confidence, and quality of life, so they can return to their routines with peace of mind.

28/10/2025

After weight loss surgery, your body can react differently to sugary foods. Some patients may experience symptoms like nausea, dizziness or a rapid heartbeat — known as dumping syndrome — while others simply find that high-sugar foods longer interests them.

Sugar can also impact energy levels, hunger cues and your ability to maintain long-term results. That’s why we encourage a balanced approach — focusing on whole, nourishing foods while understanding how your new metabolism responds to sugar.

It’s not about strict restriction — it’s about learning what works best for your body after surgery.

24/10/2025

We are pleased to invite surgeons focused on Gallbladder, Liver, and Pancreas Surgery to join us for the Sydney Upper GI Surgical Society (SUGSS 2025 Meeting). This year's program, titled "A FIGJAM in the Upper Abdomen" , is dedicated to advancing your practice in hepatobiliary surgery.

The meeting is designed to engage surgeons at all levels, from consultants to trainees, with highly practical and technical discussions.

Why Attend SUGSS 2025? Key Takeaways for Your Practice:

✔️ Minimally Invasive Advancement: Techniques for taking your laparoscopic and Robotic Surgery skills to the next level.
✔️ Practice Expansion: How to get started and expand your minimally invasive practice.
✔️ Complex Procedures: In-depth focus on Minimally Invasive Techniques for Bile Duct Repair and Choledochal Cyst Excision.
✔️ Risk Management: Essential knowledge on how to prevent and deal with Bleeding and when the right time is to convert a procedure.
✔️ Professional Development: Insights into what defines a Master Surgeon and how to achieve this level of performance.

Any surgeon performing gallbladder surgery will find significant value in attending the full day of sessions on Saturday, 22nd November 2025.

We are delighted to feature two outstanding international guest speakers: Dr Horacio Asbun and Dr Ahmad Abou Abbass.

The meeting will be held at the Intercontinental Hotel and conference centre, Double Bay, Sydney.

Limited places are still available for the meeting and the Conference Dinner.

To secure your place and view the full program, please visit: https://f.mtr.cool/pzyimxgnkz

21/10/2025

As a weight loss surgeon, I often talk about numbers — weight, BMI, measurements. But the most powerful transformations I see after weight loss surgery aren’t always visible on the scales.

It’s the patients who tell me they can play with their kids again.

Those who can travel comfortably for the first time in years.

Or simply wake up with more energy, confidence, and control over their health.

These are the victories that matter most — the non-scale victories that redefine what success truly looks like after weight loss surgery.

16/10/2025

Heartburn that won’t settle? Trouble swallowing? Or feeling full after just a few bites? These could be signs of a hiatus or para-oesophageal hernia—and ignoring them can lead to serious, long-term issues.

Key symptoms to watch for:
➡️ Severe or frequent reflux that isn’t controlled by medication
➡️ Regurgitation of food or sour liquid
➡️ Chest pain or pressure
➡️ Difficulty swallowing
➡️ Shortness of breath after meals
➡️ Feeling full very quickly
➡️ Possible anaemia from slow bleeding

While lifestyle adjustments and medication can help, surgery is often the most effective option for large or para-oesophageal hernias, or when symptoms significantly impact your daily life.

Early assessment is key to preventing complications—don’t let these symptoms go unchecked.

14/10/2025

Most people have heard of general surgeons — but few know what an Upper GI Surgeon really does.

My work focuses on the oesophagus, stomach, and upper digestive system — treating everything from reflux and hernias to complex cancers and weight-related conditions.

It’s a specialty that blends precision surgery with holistic care, helping patients eat, digest, and live more comfortably again.

If you’ve ever wondered what goes on in this part of the body (or what makes it so fascinating), stay tuned — I’ll be sharing more about the world of Upper GI surgery and the lives it impacts every day.

09/10/2025

Weight loss isn’t always about willpower — for many, it’s about underlying metabolic changes that make long-term results difficult to maintain.

Metabolic (weight loss) surgery helps reset how the body regulates appetite and energy, improving not just weight but overall health and quality of life.

With the right medical assessment and support, surgery can become one part of a sustainable plan for lasting wellbeing.