1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Best Tubulovillous Adenomas Specialist

GastroDoxs at Houston offer tubulovillous adenoma expert care that people trust with Dr. Bharat Pothuri. These colon outgrowings combine tubular and villous forms and early diagnosis under colonoscopy and hi-tech removal methods will save your health within a short time. Schedule a screening today.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
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 over 50
  • Family history of colon cancer or colon polyps
  • High intake of red or processed meats
  • Low-fiber diet
  • Smoking or heavy alcohol use
  • Overweight or obesity
  • Lack of regular physical activity
  • Inflammatory bowel disease (Crohn's disease or ulcerative colitis)

Signs and Symptoms

  • Often none in early stages
  • Blood in the stool
  • Persistent constipation or diarrhea
  • Abdominal pain or cramping
  • Unintended weight loss

Expert Treatment for Tubulovillous Adenomas by Dr. Bharat Pothuri

Step-by-Step Diagnostic Approach

Medical History and Physical Exam

Dr. Pothuri is going to start with an examination of your symptoms-particularly, epigastric discomfort, bowel alteration, any bleeding. He will talk to you about your individual and family history of polyps or colon cancer, about your diet, about alcohol and tobacco usage, among other risk factors.

Stool Testing

To identify concealed blood in the feces, he can request a fecal immunochemical test (FIT) that is an early sign of polyps or tumors.

Imaging Studies

  • CT Colonography -A noninvasive, 3D -virtual colonoscopy- that highlights polyps and masses when a full colonoscopy is not immediately possible.
  • Abdominal Ultrasound -Used to rule out other causes of epigastric pain such as gallbladder disease or liver abnormalities.

Colonoscopy and Direct Visualization

The gold standard is a colonoscopy. Dr. Pothuri proceeds to perform a high-definition endoscopy on the whole colon to detect any growth of tubulovillous and to make a specific biopsy under the influence of a sedative.

Polyp Removal and Histopathology

All detected polyps are either done through polypectomy or high endoscopic procedures (EMR/ESD) and forwarded to the pathology lab. The diagnosis is verified by microscopic examination, and dyplasia is assessed and severe cases eliminated or cancer eliminated.

Dr. Bharat Pothuri
Treatment

Our team offers comprehensive care for tubulovillous adenomas and other colon polyps.

1. Lifestyle and Dietary Interventions

  • Although lifestyle changes cannot reverse existing tubulovillous adenomas, they can slow the formation of new polyps and help maintain overall colon health.
  • Increase dietary fiber intake through fruits, vegetables, and whole-grain products.
  • Limit red and processed meat consumption.
  • Stay hydrated by drinking plenty of water.
  • Engage in regular exercise (at least 30 minutes daily).
  • Quit smoking and reduce alcohol intake.

2. Drugs and Prophylactic Supplements

  • These are primarily used to prevent recurrence in high-risk individuals rather than to treat existing tubulovillous adenomas.
  • Low-dose aspirin (under medical supervision) may be recommended.
  • Calcium and vitamin D supplements can help promote colon health.

3. Minimally Invasive or Advanced Procedures

  • The removal of tubulovillous adenomas is essential to prevent the development of colorectal cancer.
  • Polypectomy: Performed during colonoscopy for small to medium-sized polyps.
  • Endoscopic Mucosal Resection (EMR): Used for larger growths.
  • Endoscopic Submucosal Dissection (ESD): For flat or difficult-to-access polyps.
  • Laparoscopic Surgery: Reserved for complex or large polyps that cannot be removed endoscopically.
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

<

Are these polyps cancer?

No. Tubulovillous adenomas are benign (non-cancerous), but if left untreated, they can gradually develop into cancer over time.

What is low-grade dysplasia?

Low-grade dysplasia means that the cells within the polyp are not yet cancerous, but they show early signs of abnormal changes that could progress to cancer if left unmonitored or untreated.

How frequently do I need a colonoscopy?

Typically, a colonoscopy is recommended every 3 to 5 years, depending on the number, size, and pathology of the polyps found. Dr. Pothuri will recommend a personalized follow-up schedule based on your specific condition.

Does a healthy diet prevent new polyps?

A diet high in fiber and low in red meat can help lower your risk of developing new polyps but cannot completely eliminate the possibility. Regular screening remains essential.

Does polyp removal hurt?

No. Procedures such as polypectomy, EMR, and ESD are performed under sedation. Most patients experience little to no discomfort and recover quickly.

Can I return to work the next day?

Yes. Up to 90% of patients resume normal activities within 24 hours after polyp removal.

Related Blogs
Abdominal Pain

Bowel Movements: What's Normal and What's Not?

Read More
Abdominal Pain

The Worst Things You Can Do for Your Gastrointestinal Health

Read More
Abdominal Pain

The Importance of Getting a Colonoscopy

Read More