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Ampullary Adenoma

Discover how Dr. Scott at GastroDoxs in Houston expertly diagnoses and treats ampullary adenoma. Learn about causes, symptoms, advanced endoscopy options, personalized care strategies, and minimally invasive techniques. Early detection prevents complications, ensuring lasting digestive health and peace of mind.

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Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • A family history of colon or digestive tract polyps
  • A genetic condition such as familial adenomatous polyposis (FAP)
  • Chronic inflammation of the bile or pancreatic ducts
  • A high-fat diet or regular smoking
  • Age over 50

Signs and Symptoms

  • Often none in early stages
  • Belly pain or cramps
  • Yellowing of the skin or eyes (jaundice)
  • Dark urine or light-colored stools
  • Nausea or vomiting
  • Unexplained weight loss

How Dr. Scott Diagnoses Ampullary Adenoma?

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

Medical History and Exam

He reviews your abdominal pain, digestive symptoms, family history of polyps, and other risk factors.

Blood Tests

We check liver function tests, pancreatic enzymes, and bilirubin levels to evaluate duct obstruction or inflammation.

Endoscopic Evaluation

  • ERCP (Endoscopic Retrograde Cholangiopancreatography) to directly visualize the ampulla, inject contrast into the ducts, and obtain biopsies.
  • EUS (Endoscopic Ultrasound) for high-resolution images of the adenoma and surrounding tissue and to guide fine-needle biopsy if needed.

Advanced Imaging

CT or MRI scans help assess the size and extent of the growth, ductal anatomy, and any involvement of nearby organs.

Dr. Scott
Treatment

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

1. Lifestyle and Diet Modifications

  • Eat more fiber: fruits, veggies, whole grains
  • Use healthy fats: olive oil, avocado, nuts
  • Avoid processed meats and fried food
  • Drink plenty of water
  • Avoid smoking and limit alcohol or caffeine

2. Medications

  • Bile acid binders to reduce irritation
  • Pancreatic enzymes if digestion is slow
  • Pain relievers if needed

3. Minimally Invasive or Advanced Procedures

  • Endoscopic Polypectomy - Removes small adenomas with a scope
  • Endoscopic Mucosal Resection (EMR) - For larger or flat growths
  • Endoscopic Submucosal Dissection (ESD) - A precise technique for deep or complex lesions
  • Stent placement - Opens up blocked ducts when needed
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

Is ampullary adenoma cancer?

No. Ampullary adenoma is a benign growth but can become cancerous if not detected and removed early.

What is the ICD-10 code for ampullary adenoma?

The ICD-10 code is D13.4.

How is ampullary adenoma treated?

Treatment may include diet and lifestyle changes, medications, and minimally invasive endoscopic removal procedures.

Will I need surgery?

Usually not. Most ampullary adenomas are removed endoscopically without open surgery.

What is recovery like after a polypectomy?

Most patients go home the same day or stay one night. Discomfort is minimal and pain relief is provided if needed.

Can ampullary adenoma come back?

Yes, recurrence is rare but possible. Regular follow-up endoscopies help detect and treat any new growth early.

How do I schedule an appointment with Dr. Scott?

Call our Houston office or book online through our website to schedule your consultation.

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