1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Ampullary Adenoma

Discover care for ampullary adenomas with Dr. Bharat Pothuri at GastroDoxs in Houston. From accurate diagnosis via endoscopy and imaging to personalized treatment, Dr. Pothuri offers expert endoscopic and surgical options, dietary guidance, and compassionate support to ensure optimal outcomes.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Chronic inflammation of the bile or pancreatic ducts
  • Family history of colon polyps or colon cancer
  • Inherited syndromes such as familial adenomatous polyposis
  • Age over 50 years
  • Heavy smoking or frequent alcohol consumption

Signs and Symptoms

  • Often no noticeable symptoms in early stages
  • Jaundice (yellowing of the skin and eyes)
  • Pain or discomfort in the upper abdomen
  • Nausea and occasional vomiting
  • Unexplained weight loss
  • Episodes of pancreatitis (inflamed pancreas)

Expert Treatment for Ampullary Adenoma by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your symptoms-epigastric pain, jaundice, nausea, unexplained weight loss-and your family history of polyps or genetic syndromes. A focused abdominal exam looks for tenderness or signs of bile duct obstruction.

Blood Tests

Laboratory studies evaluate liver function (ALT, AST), bilirubin levels, and pancreatic enzymes (amylase, lipase) to detect ductal blockage or inflammation.

Endoscopy with Biopsy

An upper endoscopy (duodenoscopy) visualizes the ampulla of Vater directly. If a lesion is seen, Dr. Pothuri takes a small tissue sample for pathological analysis to confirm an adenoma and rule out cancer.

Imaging Studies

  • Endoscopic ultrasound (EUS) measures the size of the adenoma, depth of invasion, and relationship to adjacent structures.
  • MRI/MRCP (Magnetic Resonance Cholangiopancreatography) noninvasively maps the bile and pancreatic ducts to assess for strictures or additional lesions.

Advanced Testing (if needed)

In select cases, repeat endoscopic sampling or cross-sectional imaging helps clarify ambiguous findings before planning treatment.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for ampullary adenoma.

1. Lifestyle and Diet Modifications

  • Eat more fruits, vegetables, and whole grains
  • Reduce intake of fatty foods
  • Avoid smoking and alcohol
  • Stay active and maintain a healthy weight

2. Medications

  • Digestive enzyme supplements
  • Bile acid binders to improve digestion
  • Pain relief medications as needed
  • Vitamamin supplementation if nutrient absorption is impaired

3. Minimally Invasive or Advanced Procedures

  • Endoscopic Papillectomy for removal of small adenomas
  • Endoscopic Mucosal Resection (EMR) for targeted polyp removal
  • Surgical Ampullectomy for larger or complex growths
  • Whipple procedure when malignancy is suspected
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is ampullary adenoma?

An ampullary adenoma is a small, non-cancerous growth where your bile and pancreatic ducts meet the small intestine.

What causes it?

Risk factors include chronic inflammation of the ducts, family history of polyps or colon cancer, genetic syndromes (like familial adenomatous polyposis), age over 50, smoking, and heavy alcohol use.

Is it serious?

While benign at first, an ampullary adenoma can turn into cancer over time if not treated, so early detection and removal are important.

How is it treated?

Treatment options range from dietary and lifestyle changes plus medication to endoscopic removal (papillectomy or EMR) and, in larger or more advanced cases, surgical ampullectomy or Whipple surgery.

Is recovery easy?

Most patients recover within one to two weeks after endoscopic treatment, with follow-up to monitor for recurrence.

Will I need to change my diet?

Yes. A low-fat, high-fiber diet rich in fruits, vegetables, and whole grains supports healing and helps maintain a healthy weight.

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