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 tumor that originates at the ampulla of Vater, the point of intersection of bile and pancreatic ducting. The presence of tumors in this position can obstruct the flow of the biliary, as well as the digestive juices, which causes the emergence of jaundice and other adverse effects.
He examines your symptoms-particularly, epigastric pain, jaundice, weight loss-and evaluates your risk factors, such as family history of GI cancers, smoking, chronic pancreatitis.
Laboratory examinations will involve liver tests (AST, ALT, alkaline phosphatase, bilirubin) and tumor (CA 19-9) tests to determine the presence of bile duct obstruction and cancer.
GI pathologists examine biopsy specimens. Results are presented in a tumor board of multidisciplinary team and your treatment plan is finalized.
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 an uncommon tumour which begins at the point of vater between the biliary duct and the pancreatic duct, the ampulla of Vater.
These are typical signs jaundice (or yellowing of the skin or eyes), brown urine, clay-colored or pale stools, itchy skin, pain in the upper abdomen, nausea, vomiting and unexplainable weight loss.
Diagnosis is usually done by blood tests and by imaging (CT scan or MRCP), endoscopy ultrasound (EUS), with biopsy and ERCP to view and sample the tumor.
It can be treated with lifestyle and dietary modification, chemotherapy, targeted therapy, endoscopic stenting, minimal invasive or robotic surgery, and in case of necessity, Whipple surgery to cure the tumor.
Not always. Non-surgery, such as stenting or chemotherapy, is suitable to a few patients and can be applied in relation to the stage of tumors and the general state of health.
Yes. Digestion and overall well-being can be supported by the low-fat diet, small frequent meals, decent hydration, eliminating smoking, and restraining alcohol.
In case you develop jaundice and chronic abdominal pain, unexplainable loss in weight, and other symptoms, book an assessment with Dr. Pothuri to ascertain the cause.
