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Tubulovillous Adenomas Doctor - Dr. Rishi Chadha

Benign colon polyps which include both tubular and villous cells are tubulovillous adenoma. This is benign and therefore carries a great probability of cancer in instances where they remain untreated. Dr. GastroDoxs in Houston by Rishi Chadha provides good diagnosis, removal and prevention counseling to guarantee your colon health.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Tubulovillous Adenoma?

A tubulovillous adenoma is a tubiform (tube-shaped) and villiform (finger-shaped) cell polyp of the colon. It develops on the colon mucous and is not yet cancerous, but is linked to a great likelihood of developing into colorectal cancer with the passage of time. It is coded under ICD-10 as D12.6.

Common Causes and Risk Factors

  • Age over 50
  • History of polyps or cancer of colon in a family.
  • Crohn disease or ulcerative colitis (inflammatory bowel disease).
  • High-fat, low-fiber diet
  • Physical inactivity
  • Smoking
  • Excessive alcohol intake

Signs and Symptoms

  • Often none in early stages
  • Blood-containing or toilet paper stool.
  • Diarrhea or constipation
  • Abdominal pain or cramps
  • Unexplained weight loss

How Dr. Rishi Diagnoses Tubulovillous Adenomas?

Dr. Chadha uses a step-by-step approach:

Medical History & Exam

He examines your family and personal history of colon polyps or cancer, lifestyle, food, age and symptoms that you-ve had.

Colonoscopy

Surgery doctors like Dr. Chadha assist in examining the entire colon lining using the flexible scope equipped with a camera and identifying any irregular growths.

Polypectomy & Biopsy

When the polyp is noted, then it is removed immediately and sent to the laboratory where it is analyzed by examining the tissues.

Pathology Review

The sample will be examined by a pathologist who will determine whether the sample is tubular, villous or tubulovillous as well as whether it has precancerous or cancerous changes.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Tips

  • Eat more foods that are high in fiber (fruits, vegetables, whole grains).
  • Limit the intake of red meat and processed meat.
  • A minimum of 30 minutes exercise three or more days a week.
  • Quit smoking and reduce alcohol intakes.

2. Medications

  • Low-dose aspirin
  • As needed anti-inflammatory medication.

3. Gentle and Advanced Procedures

  • Polypectomy - excision of the polyp in colonoscopy.
  • Endoscopic Mucosal Resection (EMR) - Where the polyps are larger.
  • Cold Snare Polypectomy - cold removal of polyps.
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

Cancer risk on tubulovillous adenoma?

Up to 40% if not treated. This may be avoided by providing early care.

When do I make another colonoscopy?

Usually every 3 years. Dr. Chadha will guide you.

Does a healthy eating diet kill polyp?

No. It minimizes the threat of new ones however.

What - fragments of tubulovillous adenoma-?

Samples that are small, to be taken through lab tests in a biopsy.

Do polyps hurt?

Not usually. And only when they swell or draw blood they might hurt.

ICD-10 code of this condition?

D12.6

Shall I be anesthetized to remove the polyps?

Yes. You will be seded slightly in order to calm down.

Can polyps come back?

Yes. This has been the reason as to why after-treatment follow-ups are necessary.

Is removal of polyps insurable?

Most plans do cover this. Thereafter our group will guarantee you.

In what place shall I learn more of colon polyp?

Visit cancer.org

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