Expert Treatment for Tubular Adenomas by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He examines your own and family history of colon polyps or cancer, nutritional practices, life style and gastrointestinal symptoms you have.
Colonoscopy
A camera-fitted, endoscopic tube is a thin, bendable male tube used to inspect the colon and rectum during a real time with the producer of polyps.
Polyp Detection & Removal
Any suspicious growths are gently snared and removed during the same procedure (polypectomy).
CT Colonography (Virtual Colonoscopy)
In select cases, a noninvasive 3D scan of the colon is performed to detect flat or hard-to-see polyps.
Pathology Review
Any excised tissue is submitted to a lab to determine the existence of tubular adenoma and evaluate dysplasia.
Frequently Asked Questions
What is the pathophysiology of tubular adenomas?
Tubular adenomas result from excessive growth of the cells lining the colon. Risk factors include age above 50 years, family history of polyps or colon cancer, inflammatory bowel disease, high intake of red and processed meats, low dietary fiber, smoking, excessive alcohol consumption, obesity, and physical inactivity.
Are tubular adenomas perilous?
Although most tubular adenomas are initially benign, they can gradually progress to dysplasia and eventually to colorectal cancer if not removed in the early stages.
How are tubular adenomas identified?
They are most commonly detected and removed during a screening colonoscopy. In some cases, Dr. Pothuri may perform a CT colonography to obtain a 3D view of the colon.
How does one treat tubular adenomas?
The primary treatment involves polyp removal through simple polypectomy or endoscopic mucosal resection. Preventing new polyps depends on lifestyle modifications, including a healthy diet, regular physical activity, and, in some cases, medications such as aspirin or fiber supplements.
What is the recommended frequency for repeating a colonoscopy after polyp removal?
The follow-up interval typically ranges from 3 to 5 years, depending on the number, size, and pathology of the removed polyps.
Are lifestyle changes effective in preventing new polyps?
A diet rich in fiber and low in red meat, along with regular exercise, smoking cessation, and moderated alcohol consumption, may reduce the risk of new polyps. However, these measures do not guarantee prevention. Dr. Pothuri will tailor a personalized strategy for each patient.