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Tubulovillous Adenomas

At GastroDoxs in Cypress, our trusted expert team offers comprehensive screening and personalized treatment for tubulovillous adenomas, detecting these precancerous colorectal polyps early to safeguard your digestive health with state-of-the-art technology and dedicated, compassionate care right here in your community.

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Bharat Pothuri
Symptoms

What Are Tubulovillous Adenomas?

Tubulovillous adenomas are benign polyps in the colon or rectum that contain both tubular (tube-shaped) and villous (finger-shaped) tissue. While not cancerous initially, they carry a higher risk of turning into colorectal cancer if left untreated.

Common Symptoms

In early stages, tubulovillous adenomas often produce no symptoms. As they grow, you may notice:

  • Blood in the stool or on toilet paper
  • Changes in bowel habits, such as diarrhea or constipation
  • Abdominal cramps or persistent pain
  • Fatigue from iron-deficiency anemia
  • Unintended weight loss

Causes

The exact cause of tubulovillous adenomas isn't fully understood, but several factors raise your risk:

  • Age over 50 years
  • Family history of colorectal cancer or polyps
  • Diets high in red or processed meats and low in fiber
  • Tobacco use and heavy alcohol consumption
  • Inflammatory bowel diseases like Crohn's or ulcerative colitis
  • History of other colorectal polyps
Treatment

Treatment Options for Tubulovillous Adenomas in Cypress

Treatment options include early removal and ongoing monitoring:

  • Polypectomy: Removing the polyp during a colonoscopy using a snare or hot biopsy to prevent progression to cancer.
  • Endoscopic mucosal resection (EMR): Specialized technique for larger or flat lesions, lifting the tissue with fluid and resecting it safely.
  • Surgery: Reserved for very large, deeply rooted, or inaccessible polyps not amenable to endoscopic removal; may involve segmental resection.
  • Surveillance colonoscopy: Regular follow-up exams every 3-5 years (or as recommended) to detect and remove any new or residual polyps early.

Why Choose GastroDoxs?

With a focus on patient-centered care and expert management of tubulovillous adenomas, GastroDoxs in Cypress offers advanced diagnostics, gentle endoscopic removal techniques, and personalized surveillance plans. Our board-certified gastroenterologists and caring team are dedicated to your comfort and long-term colon health. Book your appointment today to take proactive steps toward preventing colorectal cancer.

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Patients Treated

We've successfully treated more than 48K 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's the difference between tubular, villous, and tubulovillous adenomas?

Tubular adenomas are composed mainly of tube-shaped glands, villous adenomas have finger-like projections, and tubulovillous adenomas combine both tubular and villous features.

Are tubulovillous adenomas serious?

Yes. They carry a moderate risk of progressing to colon cancer and should be removed when detected.

When should I get screened for colon polyps?

Routine screening generally starts at age 45-50, or earlier if you have a family history of colon polyps or colorectal cancer.

How are tubulovillous adenomas diagnosed?

Diagnosis is made via colonoscopy, during which a biopsy is taken and examined by a pathologist for polyp type and grade.

What does the ICD-10 code D12.5 mean?

ICD-10 code D12.5 indicates a benign neoplasm (polyp) of the colon, used for medical billing and record-keeping.

Can changing my diet shrink existing polyps?

No. While diet changes cannot shrink existing polyps, a high-fiber, low-red meat diet may reduce the risk of new polyp formation.

Does polyp removal hurt?

Polypectomy is performed during a sedated colonoscopy, so most patients feel little to no pain during the procedure.

How long is the recovery after polyp removal?

Recovery is typically quick. Most people return to normal activities the same day or by the next day.

How often should I have follow-up colonoscopies?

Follow-up intervals range from every 3 to 5 years, depending on the number, size, and pathology of the removed polyps and your overall risk profile.

Can tubulovillous adenomas come back after removal?

Yes. New polyps can develop over time, so regular surveillance colonoscopies are important to detect and remove them early.

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