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Tubular Adenomas Specialist - Dr. Bharat Pothuri

Adenomas of the tubules are harmless colon polyps which may develop cancer when not treated. As a seasoned physician taking more than 10 years experience in GastroDoxs in Houston, Dr. Bharat Pothuri provides high-end colonoscopy services to identify, treat and prevent these growths to provide safe services.

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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

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Age 50 or older
  • Family history of colon polyps or colon cancer
  • Crohn's disease or ulcerative colitis
  • High intake of red or processed meats
  • Low-fiber diet
  • Smoking or heavy alcohol use
  • Lack of regular physical activity
  • Overweight or obesity

Signs and Symptoms

  • Often none in early stages
  • Blood in the stool
  • Dark or tarry bowel movements
  • Persistent constipation or diarrhea
  • Abdominal cramps or discomfort

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.

Bharat Pothuri
Treatment

Our Team offers a full range of treatment options for tubular adenomas.

1. Lifestyle and Diet Interventions

  • Increase dietary fiber by including more fruits, vegetables, and whole grains.
  • Consume plenty of water daily.
  • Limit red meat and processed foods.
  • Stop smoking and reduce alcohol consumption.
  • Engage in aerobic activities for at least 30 minutes, 5 days a week.

2. Medications

  • Include fiber supplements such as psyllium to promote bowel movement.
  • Low-dose aspirin may be prescribed by a doctor to help decrease the size or formation of polyps.

3. Minimally Invasive Surgeries

  • Polypectomy: Removal of small polyps during colonoscopy under sedation.
  • Endoscopic Mucosal Resection (EMR): Used for removing larger or flat polyps.
  • Chromoendoscopy: A special dye is used to detect and remove small or hard-to-see polyps.
48K

Patients Treated

Dr. Pothuri has 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 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.

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