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Dr. Amjad Awan, MD

Home / Conditions / Stones & Tumors

Liver & Pancreatic Cancers and Stones in Denton, TX

Advanced endoscopic diagnosis and treatment for gallstones, bile duct stones and tumors of the liver, bile ducts and pancreas.

Advanced Endoscopic Care

Diagnosis and Relief Without Open Surgery

Stones and tumors in the bile ducts, liver and pancreas can block the flow of bile, causing pain, jaundice and infection. Advanced procedures such as ERCP and endoscopic ultrasound (EUS) allow Dr. Awan to diagnose and often treat these problems without open surgery.

Endoscopic ultrasound and diagnostic imaging room

Stones and Tumors We Evaluate

Early diagnosis leads to faster relief and better treatment planning.

Gallstones

Stones in the gallbladder that may cause pain or move into ducts.

Bile Duct Stones

Stones blocking the common bile duct (choledocholithiasis).

Pancreatic Duct Stones

Often linked to chronic pancreatitis.

Pancreatic Tumors

Masses and cysts requiring evaluation and biopsy.

Bile Duct Tumors

Cholangiocarcinoma and other causes of blockage.

Liver Tumors

Including liver cancer in people with cirrhosis.

Our Approach

Fast evaluation and minimally invasive treatment whenever possible.

  1. Imaging ReviewUltrasound, CT, MRI or MRCP findings are reviewed with you.
  2. Endoscopic DiagnosisEUS provides detailed images and tissue samples.
  3. TreatmentERCP removes stones or places stents to restore bile flow.
  4. Coordinated CareFor cancers, Dr. Awan works closely with surgeons and oncologists.

Warning Signs to Watch For

Seek prompt medical care if you notice yellowing of the skin or eyes, dark urine, pale stools, severe upper abdominal pain, fever with chills, or unexplained weight loss. These can be signs of a blocked bile duct or a tumor.

Gallstones and Bile Duct Stones

Gallbladder stones are common. When a stone moves into the bile duct, it can cause jaundice, infection or pancreatitis and usually needs ERCP, often followed by gallbladder removal.

Pancreatic and Bile Duct Cancers

These cancers are often found late. EUS-guided biopsy provides an accurate diagnosis, and stents can relieve jaundice while treatment is planned.

Related Services

Learn about ERCP, endoscopic ultrasound and our article What Is ERCP?.

Cancers & Stones FAQs

No. Gallstones that cause no symptoms often need no treatment. Stones that cause pain, infection or block ducts usually do.

Yes. ERCP can remove most bile duct stones without open surgery.

Imaging such as CT or MRI is often followed by endoscopic ultrasound with biopsy for an accurate diagnosis.

A small tube placed during ERCP to keep a blocked bile duct open so bile can drain.

Talk to Our Team

Request an Appointment

Please do not include detailed medical information. Our team will call you back to discuss your needs.

Get Expert Evaluation for Stones or Tumors

Talk with an experienced therapeutic endoscopist in Denton. Call our office today.