Sessile serrated lesions (SSLs) are flat or slightly raised polyps that grow on the lining of the colon. Under the microscope they show a "saw-tooth" pattern. Although SSLs are not cancerous at first, they can develop into colon cancer over time if not detected and removed early.
Most SSLs don't cause noticeable symptoms. When signs do appear, they may include:
While the exact cause of SSLs isn't fully understood, these factors increase your risk:
With our patient-centered approach and state-of-the-art colonoscopy technology, GastroDoxs offers precise detection and removal of sessile serrated lesions before they become a serious risk. Our board-certified gastroenterologists in Cypress provide clear explanations, personalized follow-up plans, and expert dietary and lifestyle guidance to support your long-term colon health. Don't wait-book your appointment today and take proactive control of your digestive wellness!
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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.
Unlike hyperplastic polyps, sessile serrated lesions have a saw-tooth pattern under the microscope and carry a higher risk of progressing to colon cancer, which makes their detection and removal more critical.
The histology reveals the characteristic serrated (saw-tooth) architecture of the glands and abnormal cell patterns, helping doctors identify early changes that may lead to cancer.
A sessile serrated lesion with dysplasia means that some cells within the lesion have started to change abnormally, indicating a higher risk of developing into cancer if not removed and monitored closely.
Follow-up colonoscopy intervals typically range from every 3 to 5 years, but the exact timing depends on factors like the size, number, and pathology results of your removed lesions.
Stool tests can help screen for blood or DNA changes but are not as accurate as colonoscopy for detecting and removing flat or hidden lesions like SSLs.
Yes. Eating a high-fiber diet, reducing red and processed meats, exercising regularly, quitting smoking, and limiting alcohol can all help lower your risk of developing SSLs.
Most patients feel well and can return to normal activities within 24 hours after a polypectomy, though you may experience mild cramping or gas for a day or two.
Not all SSLs become cancerous, but because they can progress silently over time, removing them early is the best way to prevent potential malignancy.
Your GastroDoxs gastroenterologist will review your biopsy and polyp findings with you in clear, straightforward language and discuss any recommended follow-up steps.
Simply call GastroDoxs in Cypress to schedule a consultation with one of our board-certified gastroenterologists who specializes in detecting and treating sessile serrated lesions.
