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.
He examines your symptoms-pain in the epigastric area, jaundice, nausea, unexplainable weight loss-and the family history of polyps or genetic syndromes. Precise examination of the abdomen is done to detect tenderness or severe obstruction of the bile duct.
Laboratory analysis during the examination of liver activity (ALT, AST) and bilirubin and pancreatic enzymes (amylase, lipase) to find bilateral obstruction or inflammation.
The ampulla of Vater are directly visualized in an upper endoscopy (duodenoscopy). In the event that a lesion appears, Dr. Pothuri makes a small tissue sample to undergo the pathological examination to identify the presence of an adenoma and exclude the presence of cancer.
Repeat endoscopic tests or cross sectional imaging are used selectively to help clear up the ambiguous results prior to treatment plan.
Dr. Pothuri has treated more than 1.5K 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 adenoma is a small non-cancerous lesion whereby your pancreatic ducts and bile meet the small intestine.
The risk factors are chronic inflammation of the ducts, family history of polyps or colon cancer, hereditary diseases (such as familial adenomatous polyposis), age more than 50, smoking, and excessive alcohol consumption.
Though it is benign, ampullary adenoma may progress to cancer in the long run, hence early diagnosis and subsequent resection is significant.
Treatment include diet and lifestyle modifications and medication, endoscopic resection (papillectomy or EMR) and in larger or more advanced ones, ampullectomy(surgical) or Whipple resection.
Endoscopic treatment of most patients takes one to two weeks to recover and follow up is done to address any recurrence.
Yes. A healthy, low-fat and high-fiber diet is based on fruits, vegetables, and whole grains, which healing and a healthy body weight.
