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Tubulovillous Adenomas

At GastroDoxs in Jersey Village, our board-certified gastroenterologists provide expert, state-of-the-art, thorough evaluation and seamless management of tubulovillous adenomas detected during routine colonoscopic screenings, ensuring personalized care and advanced treatment options to reduce colorectal cancer risk in the local 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 Jersey Village

Treatment includes endoscopic procedures and surgical care:

  • Polypectomy: Removal of small to medium polyps during a routine colonoscopy using a snare or biopsy forceps to prevent malignant transformation.
  • Endoscopic Mucosal Resection (EMR): A minimally invasive technique for larger or flat polyps-fluid is injected beneath the lesion to lift it, then the entire growth is resected.
  • Surgical Resection: For very large adenomas or those not amenable to endoscopic removal, a segmental colectomy or local excision may be performed.
  • Surveillance Colonoscopy: Regular follow-up scopes-typically every 3-5 years-allow early detection and removal of any new or recurring polyps.

Ready to Take Charge of Your Colon Health?

At GastroDoxs in Jersey Village, our board-certified gastroenterologists specialize in early detection and treatment of tubulovillous adenomas. We combine advanced endoscopic techniques with personalized care plans to ensure your comfort and safety every step of the way. Early removal of polyps can significantly reduce your risk of colorectal cancer let us help you stay ahead of your health.

Book Your Screening Today: Call us at 832-632-4070 or schedule your appointment online now. Your colon health matters trust GastroDoxs to guide you toward long-term wellness.

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We've successfully treated more than 48K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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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 and tubulovillous adenomas?

Tubular adenomas are tube-shaped polyps with a lower cancer risk. Tubulovillous adenomas combine both tube-like and finger-like (villous) structures and carry a higher risk of progressing to cancer.

Are tubulovillous adenomas dangerous?

Yes. While they are not cancerous initially, tubulovillous adenomas can develop into colorectal cancer over time if they are not identified and removed.

When should I get screened for colon cancer?

Average-risk adults should begin screening between ages 45 and 50. Those with a family history of colorectal polyps or cancer may need to start earlier or have more frequent exams.

Can diet help prevent these polyps?

A high-fiber, low-fat diet may reduce the risk of developing colon polyps, but regular colonoscopy screenings remain essential for early detection and removal.

How long does it take to remove a polyp?

Most polypectomies are completed in under 30 minutes during a routine colonoscopy, depending on the size and location of the polyp.

Will the colonoscopy hurt?

No. Patients receive sedation before the procedure, ensuring comfort. Most report little to no discomfort during polyp removal.

What is the ICD-10 code for tubulovillous adenoma?

ICD-10 codes for benign colorectal polyps range from D12.0 to D12.9, assigned based on the exact location of the adenoma.

How often do I need follow-up scopes?

Follow-up colonoscopies are typically recommended every 3 to 5 years, but the exact interval depends on the number, size, and pathology of removed polyps.

Is polyp removal covered by insurance?

Yes. Under most plans, colonoscopy screenings and polyp removals are covered as preventive services without additional out-of-pocket cost.

Can polyps come back?

Yes. New polyps can develop even after removal. Regular surveillance colonoscopies are crucial to detect and remove any new growths early.

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