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Neuroendocrine Tumors

At GastroDoxs in Jersey Village, our specialized team offers expert diagnosis, personalized treatment plans, and ongoing care for patients with neuroendocrine tumors, ensuring compassionate support and state-of-the-art therapies tailored to the unique needs of our local community, using advanced imaging.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What are Neuroendocrine Tumors?

Neuroendocrine tumors (NETs) arise from hormone-producing neuroendocrine cells found throughout the body. They most commonly develop in the gastrointestinal tract, pancreas, and lungs. NETs can be slow-growing or highly aggressive. Early detection and treatment help improve outcomes and quality of life.

Common Symptoms

Symptoms vary depending on tumor location and hormone secretion. You may experience:

  • Flushing or redness of the face and neck
  • Persistent diarrhea
  • Wheezing, coughing, or shortness of breath
  • Abdominal pain, cramps, or bloating
  • Unexplained weight loss
  • Fatigue, weakness, or low energy
  • Hypoglycemic episodes (in insulin-secreting tumors)
  • Heart palpitations or racing heartbeat

Causes

The precise cause of most NETs is not known. However, several risk factors and associations have been identified:

  • Inherited syndromes such as multiple endocrine neoplasia type 1 (MEN1)
  • Family history of neuroendocrine or endocrine tumors
  • Chronic atrophic gastritis or Zollinger-Ellison syndrome
  • Prior radiation exposure to the chest or abdomen
  • Environmental factors (under ongoing research)
  • Random (sporadic) genetic mutations in neuroendocrine cells
Treatment

Treatment Options for Perianal Fistula in Jersey Village

Treatment includes medical, procedural, and supportive care:

  • Antibiotics: Prescribed to control infection, reduce pain, and minimize drainage.
  • Seton placement: A small surgical thread is inserted into the fistula tract to keep it open and draining, allowing gradual healing.
  • Fistulotomy or fistulectomy: Surgical opening or excision of the tract to directly remove the tunnel and promote healing.
  • LIFT procedure: Ligation of the intersphincteric fistula tract to close the tunnel safely while preserving sphincter function.
  • Biologic medications: Targeted therapies (e.g., anti-TNF agents) to control underlying Crohn's disease and prevent recurrence.
  • Pain management and wound care: Local care instructions, sitz baths, and pain relief measures to support recovery.

Why Choose GastroDoxs?

At GastroDoxs in Jersey Village, our board-certified gastroenterologist and care team are dedicated to treating perianal fistulas with the latest techniques and a compassionate touch. From initial evaluation with high-resolution imaging to tailored treatment plans-whether that's seton placement, fistulotomy, LIFT procedures, or biologic therapy we guide you through each step toward lasting relief.

Ready to feel better? Call us at 832-632-4070 or book your appointment online today. We'll help you start your journey to comfort and confidence.

1.5k

Patients Treated

We've successfully treated more than 1.5K 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 is a perianal fistula?

A perianal fistula is a small, abnormal tunnel that forms between the anal canal or rectum and the skin around the anus, most often developing after an infection or abscess.

How is a perianal fistula diagnosed?

Diagnosis typically involves a physical exam by a colorectal specialist and may include imaging tests such as MRI or endoanal ultrasound to map the fistula's course.

Does Crohn's disease cause perianal fistulas?

Yes. Chronic inflammation from Crohn's disease can lead to the development of recurrent or complex perianal fistulas in affected patients.

What are common symptoms of a perianal fistula?

Symptoms often include persistent pain or tenderness near the anus, swelling, itching, and drainage of pus or blood from an opening in the skin.

How long does recovery take after fistula treatment?

Recovery time varies by procedure, but most patients heal within 4 to 6 weeks. More complex cases or additional therapies may extend this timeline.

Will antibiotics alone cure my perianal fistula?

Antibiotics can help control infection and reduce inflammation but usually are not sufficient to close the fistula, which often requires a surgical approach.

Can a perianal fistula heal on its own?

Spontaneous healing is rare. Most fistulas persist and require medical or surgical intervention to fully close and prevent complications.

When should I see a doctor for a suspected fistula?

If you experience ongoing pain, swelling, drainage, or suspect a fistula, schedule an evaluation with a gastroenterologist or colorectal surgeon promptly.

Are there non-surgical treatments for perianal fistulas?

In some cases, seton placement to maintain drainage and biologic medications (especially for Crohn's-related fistulas) can manage symptoms without immediate surgery.

Can a perianal fistula come back after treatment?

Yes. While many patients achieve lasting healing, fistulas can recur. Regular follow-up care and, when indicated, medical therapy help minimize the risk.

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