I had some gall stones in my bile duct which basically elevated all my liver enezymes. However after my ERCP my ALP is still high. Also I have fatty liver and am over-weighty easily by over 50 pounds. It was during my ERCP that biopsies were taken to rule out possible amupllary adenoma. Unfortunately they were not enough or suggested some missed sections (need another round of ERCP to get those).
How major is this adenoma? And how can it be treated is necessary?