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.
Frequently Asked Questions
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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.