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.
Ampullary adenocarcinoma is a rare cancer that arises at the ampulla of Vater-the junction where the bile duct and pancreatic duct meet. Tumors in this location can block the flow of bile and digestive juices, leading to jaundice and other complications.
He reviews your symptoms-especially epigastric pain, jaundice, weight loss-and checks for risk factors such as family history of GI cancers, smoking, or chronic pancreatitis.
Laboratory studies include liver function tests (AST, ALT, alkaline phosphatase, bilirubin) and tumor markers (CA 19-9) to assess bile duct obstruction and cancer suspicion.
Biopsy specimens are examined by GI pathologists. Findings are discussed in a multidisciplinary tumor board to finalize staging and tailor your treatment plan.
Dr. Pothuri has treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
Ampullary adenocarcinoma is a rare cancer that starts where the bile duct and pancreatic duct meet, called the ampulla of Vater.
Common signs include jaundice (yellowing of skin or eyes), dark urine, pale or clay-colored stools, itchy skin, upper abdominal pain, nausea, vomiting, and unexplained weight loss.
Diagnosis typically involves blood tests, imaging (CT scan or MRCP), endoscopic ultrasound (EUS) with biopsy, and ERCP to visualize and sample the tumor.
Treatment may include lifestyle and dietary changes, chemotherapy, targeted drugs, endoscopic stenting, minimally invasive or robotic surgery, and, if needed, Whipple surgery to remove the tumor.
Not always. Some patients benefit from non-surgical methods like stenting or chemotherapy alone, depending on tumor stage and overall health.
Yes. A low-fat diet, small frequent meals, good hydration, smoking cessation, and limiting alcohol can support digestion and overall well-being.
If you experience jaundice, persistent abdominal pain, unexplained weight loss, or other warning signs, schedule an evaluation with Dr. Pothuri promptly.
