https://wasurgeon.com.au/home daily 0.75 2022-01-12 https://wasurgeon.com.au/home-1 daily 1.0 2026-01-14 https://wasurgeon.com.au/about-4 daily 0.75 2026-01-30 https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/c115bcdc-0d11-4fe3-84bc-2033e208a7fc/FullSizeRender.jpg https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/13e3b73a-f0b4-48f9-9690-7b4f0e0ba76a/header_logo_v2.png https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/ca6f43d2-9c3f-411c-afd7-35c094d5fe74/logo-2020.png https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/a06dacba-3bb5-4f58-83ec-6eecb1b1a103/AANZGOSA.png https://wasurgeon.com.au/contact-2 daily 0.75 2025-02-05 https://wasurgeon.com.au/new-page daily 0.75 2022-01-06 https://wasurgeon.com.au/surgical-costs-1 daily 0.75 2026-01-14 https://wasurgeon.com.au/surgery daily 0.75 2025-07-14 https://wasurgeon.com.au/surgery/abdominal-wall-hernias monthly 0.5 2022-01-06 https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1641370509343-JWYSQ789QNRXF0ZZP9IC/Screen+Shot+2022-01-05+at+16.14.18.png Surgeries - + Abdominal Wall Hernias https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1641370667032-VY74LTKM2BRCVPV19RDQ/Screen+Shot+2022-01-05+at+16.17.19.png Surgeries - + Abdominal Wall Hernias https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1641370852734-C5JUZI9HFOHYG7M6QLQE/Screen+Shot+2022-01-05+at+16.20.36.png Surgeries - + Abdominal Wall Hernias https://wasurgeon.com.au/surgery/project-four-4yl67 monthly 0.5 2025-07-14 https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1640572253574-BG8HUOCUCU7MHDQQ846A/Screen+Shot+2021-12-27+at+10.30.33.png Surgeries - + Cancers of the Oesophagus and Stomach - What type of cancer is this? We pick up oesophageal and gastric cancers either “accidentally” or when you have symptoms such as difficulty swallowing, reflux, blood loss, obstruction or weight loss. We establish the exact diagnosis by taking tissue usually with a gastroscopy and examining this under a microscope. This is a pathology slide of a biopsy taken of an adenocarcinoma of the oesophagus. When you receive this diagnosis, it can be an enormous shock. Your endoscopist or GP should then refer you urgently to a specialist. If you wish, Jonathan will often see a new cancer referral within the week. https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1640572569676-EPH1K2FQ4O16MI3CSYIO/Screen+Shot+2020-09-03+at+18.44.14.png Surgeries - + Cancers of the Oesophagus and Stomach https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1640573313441-ZCWGZNT085SM4ZX6R31C/Untitled_Artwork+4.JPG Surgeries - + Cancers of the Oesophagus and Stomach - How can we beat this cancer? Treating this tumour involves three things. The medical management: treatment hinges on the three pillars of surgery, chemotherapy and radiotherapy. The exact combination depends on what type of tumour you have and the stage of tumour. Jonathan will advise you on the treatment options following the “tumour board” meeting. Nutritional management: often by the time this tumour has been picked up, you have become malnourished. Making sure you are well nourished is crucial and our dietetics team become heavily involved in your care Physical fitness: No matter what your treatment ends up, it is like preparing for a marathon. Brisk walking is a simple way to prepare. We will also enrol you in a surgical gym for surgical preparation. https://wasurgeon.com.au/surgery/project-three-hj9xr monthly 0.5 2022-01-06 https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1641392316380-N748OER0E0JGOZFL0KPD/Untitled_Artwork1.jpg Surgeries - + Weight Loss Surgery https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1641392404384-CODIL6TE8PP1N43YZ4NT/Untitled_Artwork444.jpg Surgeries - + Weight Loss Surgery https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/1641392820813-HJK2D1PJU5CRRWRHNCBU/Untitled_Artwork%2B555.jpg Surgeries - + Weight Loss Surgery https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/0f1835ca-c2a5-4c4d-a9a4-cc53eec33195/Untitled_Artwork+8.JPG Surgeries - + Weight Loss Surgery - Laparoscopic Gastric Bypass The gastric bypass operation is the next step up from a sleeve gastrectomy. The stomach’s capacity is reduced further and the internal “plumbing” of the small bowel is rearranged. The rearrangement of the small bowel can further alter how you absorb nutrients and send different signals to your liver and other organs. Jonathan will discuss with you about your specific benefits and risks of this operation at your clinic appointment. https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/f29c4c70-3997-4b75-aa49-23ab9abb5676/Untitled_Artwork+9.jpg Surgeries - + Weight Loss Surgery - Other Procedures and Revisional Bariatric Surgery Jonathan’s public role at Sir Charles Gairdner Hospital encompasses complex oesophago-gastric and bariatric referrals from around the state. You may be referred by another surgeon or doctor after a disappointing outcome from an operation, or if you have troublesome side effects such as malnourishment, pain, reflux, or more worryingly, internal hernias or leakages. This drawing shows a patient who was referred to me after her stomach after bariatric surgery was pulled into her chest, giving her intractable reflux. She was converted to a gastric bypass and her symptoms completely resolved. All of these problems can be quite complex, taking a toll on your daily life, work and overall health. A structured and methodical approach to your overall health and nutritive state is critical to recovery and quality of life. Jonathan will discuss with you in detail about how we can achieve this. https://wasurgeon.com.au/surgery/hiatalhernia monthly 0.5 2022-01-06 https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/a9911be6-305c-4086-b1c8-ae92d45a8f73/hiatal.jpg Surgeries - + Reflux and Hiatus Hernia - What happens when your stomach is pulled into your chest? When this happens then you may have very little symptoms. On the other hand some people are plagued by reflux, swallowing problems and regurgitation. Here, this man had daily regurgitation because the “tunnel” between the chest and abdomen had become enlarged. A visible hole can now be seen. https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/42a5ae35-7a1f-4387-adaa-f61bbe6e92e3/h3.jpg Surgeries - + Reflux and Hiatus Hernia - What this looks like to a surgeon When the hole is enlarged then the stomach can herniate up into the chest where it does not belong. The negative pressure in the chest and the kinking of the stomach can cause a multitude of symptoms https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/eb192d5a-6a71-43b1-836f-57c6dcf06c25/Screen+Shot+2021-12-06+at+22.08.30.png Surgeries - + Reflux and Hiatus Hernia - The stomach is reduced and the tunnel is calibrated back to normal With keyhole surgery the stomach is returned to the abdomen without tension. The tunnel between the chest and abdomen is tightened back to normal with sutures and then the stomach is folded on itself. This man lived approximately 4 hours from Perth. He stayed in Hollywood Private Hospital for two days following surgery and returned home with complete resolution of his regurgitation. https://wasurgeon.com.au/surgery/project-one-5k9md monthly 0.5 2022-01-06 https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/5e07875b-245b-48ee-ab41-95efc9b50f44/Untitled_Artwork+6.jpg Surgeries - + Diseases of the Gallbladder - Incidental The gallbladder can normally be left alone as it likely surgery will not benefit and even cause harm. There are unusual cases where we would consider this such as after specific types of bariatric or cancer surgery. https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/4ba905ae-399a-4c17-9be9-e25ffab7af1b/Untitled_Artwork.jpg Surgeries - + Diseases of the Gallbladder - Uncomplicated Gallstones can cause pain and inflammation in the gallbladder. Sometimes this is a “one-off" event and for some people they have chronic symptoms. These cases are normally treated with removing the gallbladder (a cholecystectomy) but there is some leeway as to whether an operation “must” be done. https://images.squarespace-cdn.com/content/v1/618a862db0da28769687903f/e21b2b04-8dbe-47fd-9adf-591db427ff58/IMG_0986.jpg Surgeries - + Diseases of the Gallbladder - Complicated This is when gallstones trigger further downstream problems in the bile duct or the pancreas. These are complicated because now multiple organs have become affected by the gallstones. These are unusual presentations but can become life-threatening. This is a routine X-ray taken during such an operation for a woman with jaundice from gallstones. Dye is injected down the bile ducts and this X-ray shows a stone lodged at the bottom of the bile duct. A keyhole exploration was performed to remove the stone and she went home the next day. My recommendation for surgery is usually much stronger and we may need to explore the bile ducts.