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Ampullary Adenoma

At GastroDoxs in Jersey Village, our specialized team offers expert screening and minimally invasive treatment for ampullary adenoma, ensuring personalized care, prompt diagnosis, and the latest endoscopic techniques to manage this precancerous condition, all conveniently located in our welcoming community.

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Harris County Medical Society
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Houston Methodist leading Medicine
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Bharat Pothuri
Symptoms

What Is Ampullary Adenoma?

Ampullary adenoma is a benign (noncancerous) growth at the ampulla of Vater-the spot where the bile duct and pancreatic duct join the small intestine. Although these adenomas grow slowly, they can progress to cancer if not detected and treated early.

Common Symptoms

Early stages may be symptom-free. As the lesion enlarges or blocks ducts, you might notice:

  • Pain or discomfort in the upper abdomen
  • Jaundice (yellowing of the skin and eyes)
  • Dark-colored urine
  • Pale or clay-colored stools
  • Itching over the body
  • Loss of appetite or unexplained weight loss

Causes

While the exact trigger is often unclear, several factors raise risk:

  • Inherited syndromes such as familial adenomatous polyposis (FAP)
  • Chronic inflammation or irritation in the bile or pancreatic ducts
  • Age over 50 years
  • Smoking and unhealthy dietary habits
Treatment

Treatment Options for Ampullary Adenoma in Jersey Village

Treatment includes endoscopic, surgical, and supportive care:

  • Endoscopic Resection (ERCP): Minimally invasive removal of the adenoma through a duodenoscope without external incisions.
  • Surgical Excision: Open or laparoscopic surgery for larger lesions or those with suspicious features.
  • Ablation Techniques: Radiofrequency or argon plasma coagulation to destroy residual adenomatous tissue.
  • Biliary Stenting: Placement of a stent to relieve bile duct obstruction and alleviate jaundice.
  • Regular Imaging and Endoscopy: Follow-up CT, MRI, or repeat endoscopy to monitor for recurrence.
  • Biopsy and Pathology Review: Tissue analysis post-resection to confirm complete removal and exclude malignancy.
  • Supportive Care: Nutritional counseling, pain management, and scheduled specialist visits for ongoing support.

Why Choose GastroDoxs?

At GastroDoxs in Jersey Village, our experienced gastroenterologists specialize in the diagnosis and treatment of ampullary adenoma. We combine fast, accurate testing-including endoscopy and imaging-with personalized treatment plans like ERCP, ablation, or surgery as needed. From your first consultation through recovery, our patient-centered approach ensures you receive compassionate guidance and effective care.

Don't wait to get the answers you need. Call GastroDoxs today or book your appointment online to consult with a specialist and take control of your digestive health.

1.5k

Patients Treated

We've successfully 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?

Ampullary adenoma is a benign (noncancerous) growth located at the ampulla of Vater, the junction where the bile duct and pancreatic duct meet the small intestine.

How is ampullary adenoma diagnosed?

Diagnosis typically involves an endoscopic examination, imaging tests such as CT or MRI scans, and a biopsy to confirm the nature of the growth.

What causes ampullary adenoma?

While the exact cause is often unknown, risk factors include inherited conditions like familial adenomatous polyposis (FAP), chronic irritation in the bile or pancreatic ducts, age over 50, smoking, and unhealthy dietary habits.

What symptoms should I look out for?

Common symptoms include upper abdominal pain, jaundice (yellowing of the skin or eyes), dark urine, pale stools, generalized itching, loss of appetite, and unexplained weight loss.

What is ERCP, and how is it used in treatment?

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a procedure that uses a flexible scope with specialized tools to examine the bile and pancreatic ducts, remove growths, and take tissue samples-all through the mouth without external incisions.

Are there alternative treatments besides ERCP?

Yes. For patients who cannot undergo ERCP or whose growths are not suitable for endoscopic removal, options such as ablation or other minimally invasive techniques may be considered.

Can ampullary adenoma cause severe pain?

Yes. If the adenoma blocks the bile or pancreatic ducts, it can lead to significant upper abdominal pain due to backed-up digestive juices and enzymes.

When should I see a doctor about potential ampullary adenoma?

You should seek medical evaluation if you experience persistent abdominal pain, signs of jaundice, or noticeable changes in stool or urine color.

What happens during an endoscopic removal of an ampullary adenoma?

The procedure is performed under sedation. A flexible endoscope is passed through the mouth to the duodenum, where specialized tools remove the growth. Most patients recover at home the same day.

How do I find a specialist for ampullary adenoma near Jersey Village?

GastroDoxs in Jersey Village offers consultations with skilled gastroenterologists who specialize in diagnosing and treating ampullary adenoma. Same-week appointments are available for your convenience.

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