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Ampullary Adenoma
At GastroDoxs in Houston, Dr Nghia Nguyen offers diagnosis and treatment for ampullary adenomas—benign tumors at the ampulla of Vater with potential to become cancerous. With advanced endoscopic techniques and personalized care, early detection and effective management safeguard patient health.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Common Causes and Risk Factors
Age over 50 years
Genetic syndromes such as familial adenomatous polyposis
Chronic inflammation or irritation of the bile ducts
Signs and Symptoms
Often none in early stages
Jaundice (yellowing of the skin or eyes)
Pain or discomfort in the upper abdomen
Dark urine or pale stools
Unexplained weight loss
Nausea or feeling sick after meals
How Dr. Nghia Nguyen Diagnoses Ampullary Adenoma
Dr. Nguyen starts with a full health history and physical exam. He then uses tests to confirm the diagnosis:
Blood work to check the liver and pancreas
Imaging like CT or MRI scans
ERCP to view the ampulla and take a tissue sample
Lab review of the biopsy to check for dysplasia
The ICD-10 code for ampullary adenoma is D13.0.
Treatment
Our Team offers a full range of treatment options for ampullary adenoma.
1. Lifestyle and Diet Changes
Eat small meals more often
Avoid greasy and fried foods
Drink plenty of fluids each day
Limit alcohol consumption
2. Medications
Bile acid binders to reduce irritation
Digestive enzyme supplements, if needed
Pain relievers under medical guidance
3. Minimally Invasive or Advanced Procedures
Snare resection for small tumors
Endoscopic mucosal resection for larger growths
Radiofrequency ablation for tumors with advanced cell changes
Surgical options like ampullectomy or the Whipple procedure when necessary
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What is the ICD-10 code for ampullary adenoma?
The code is D13.0 and is used for benign tumors in the ampulla of Vater.
Can an ampullary adenoma turn into cancer?
Yes. Tumors with high-grade dysplasia are more likely to become cancerous. Early detection and removal help prevent this.
How long does endoscopic removal take?
Most endoscopic procedures take about 30 to 60 minutes and are performed under sedation.
Will I still need surgery?
If cancer is found or the tumor recurs, surgery—such as ampullectomy or the Whipple procedure—may be required. Dr. Nguyen will explain all options.
How often should I get follow-up checks?
Patients typically return every 6 to 12 months for follow-up imaging and endoscopic exams.
Can I lower the risk of recurrence?
Yes. A low-fat diet, minimal alcohol intake, and regular exercise can help reduce the chance of the tumor returning.
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