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Tubulovillous Adenomas

At GastroDoxs in Katy, our experienced specialists provide accessible, comprehensive screening and expert management of tubulovillous adenomas, ensuring personalized care and advanced minimally invasive procedures to protect your colon health and support our community's well-being with trusted local expertise.

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Harris County Medical Society
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Bharat Pothuri
Symptoms

What is a Tubulovillous Adenoma?

A tubulovillous adenoma is a type of colon polyp that has both tubular (tube-like) and villous (finger-like) structures in its lining. These growths are benign (noncancerous), but they can develop areas of high-grade dysplasia-cells that look abnormal under a microscope-which increases the risk of turning into colorectal cancer if not removed.

Common Symptoms

Small tubulovillous adenomas often cause no symptoms. Larger or more advanced polyps may lead to:

  • Changes in bowel habits (diarrhea or constipation)
  • Blood in the stool
  • Stomach pain or cramping
  • Unexplained weight loss
  • Fatigue from iron-deficiency anemia

Causes

The exact cause of these polyps is not always clear, but several factors can raise your risk of developing tubulovillous adenomas:

  • Age over 50 years
  • Family history of colon polyps or colorectal cancer
  • Low-fiber, high-fat diet
  • Smoking or heavy alcohol use
  • Underlying inflammatory bowel diseases (Crohn's disease or ulcerative colitis)
Treatment

Treatment Options for Tubulovillous Adenomas in Katy, TX

Treatment includes early polyp removal and ongoing monitoring:

  • Polypectomy: Endoscopic removal of small polyps during a colonoscopy to prevent progression.
  • Endoscopic mucosal resection (EMR): Specialized technique for safely removing larger or flat adenomas.
  • Surgery: Reserved for very large growths or those showing high-grade dysplasia.
  • Follow-up colonoscopies: Scheduled exams to monitor for and remove any new polyps early.

Why Choose GastroDoxs?

With a focus on patient-centered care and comprehensive digestive health solutions, GastroDoxs provides expert diagnosis and treatment for tubulovillous adenomas. Our Katy team uses the latest endoscopic technology, offers compassionate support from your first visit through recovery, and designs personalized follow-up plans to keep you healthy long term.

Ready to take the next step? Call us at 832-632-4070 or book your appointment online today to schedule your consultation and colonoscopy in Katy, TX.

48K

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 does "tubulovillous adenoma with high-grade dysplasia" mean?

This term describes a colon polyp whose cells look more abnormal than usual under the microscope. High-grade dysplasia indicates a greater potential for these cells to develop into cancer if not removed.

Can fragments of a tubulovillous adenoma be missed?

While it's uncommon, small fragments can be overlooked. That's why we use advanced imaging and meticulous sampling during removal to ensure complete excision.

Is a tubulovillous adenoma cancer?

No. It is a benign (non-cancerous) growth, but because it can progress to cancer over time, early detection and removal are important.

How long does polyp removal take?

Most colonoscopies, including polyp removal, last between 20 and 60 minutes. The exact time depends on the size and number of polyps being removed.

Do I need sedation for a colonoscopy?

Yes. Sedation helps you remain comfortable and pain-free throughout the procedure, allowing the gastroenterologist to work safely and efficiently.

How often do I need a follow-up colonoscopy?

Follow-up intervals are based on factors such as the number of polyps, their size, and any dysplasia found. Your doctor will recommend a personalized schedule.

Can large polyps be treated without surgery?

Yes. Many large but non-cancerous polyps can be removed endoscopically using techniques like endoscopic mucosal resection (EMR), avoiding the need for open surgery.

Are there risks with polyp removal?

Complications are rare but can include bleeding or a small risk of perforation (tear) in the colon. Our experts employ best practices to minimize these risks.

Can diet shrink existing polyps?

No. While diet cannot shrink already formed polyps, a high-fiber, low-fat diet can help lower the risk of new polyps developing in the future.

Does family history matter?

Yes. A close relative with colon polyps or cancer increases your risk, and you may need earlier or more frequent screening to catch growths at an early, treatable stage.

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