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Sessile Serrated Lesions

Sessile serrated lesions are flat colon polyps that can evolve into cancer if not removed early. Board-certified gastroenterologist Dr. Bharat Pothuri in Houston's GastroDoxs clinic offers advanced colonoscopy, endoscopic mucosal resection, and personalized care to detect and treat these lesions.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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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 years
  • Family history of colon polyps or colon cancer
  • Smoking or heavy alcohol use
  • Overweight or obesity
  • Lack of regular physical activity
  • Low-fiber, high-fat diet
  • Chronic inflammatory bowel conditions

Signs and Symptoms

  • Often none in early stages
  • Blood in the stool
  • Ongoing changes in bowel habits
  • Belly pain or cramping
  • Unexplained weight loss (rare)

Expert Treatment for Sessile Serrated Lesions by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Risk Assessment

He reviews your age, family history of colon polyps or cancer, lifestyle factors (smoking, alcohol, diet), and any subtle symptoms such as blood in the stool or changes in bowel habits.

High-Definition Colonoscopy

Using a state-of-the-art colonoscope with enhanced imaging (narrow-band and chromoendoscopy), he carefully inspects the entire colon for flat or serrated lesions that can be easily missed.

Tissue Sampling and Endoscopic Resection

When a suspicious lesion is found, Dr. Pothuri performs an endoscopic mucosal resection (EMR) or targeted biopsy to remove or sample the tissue for analysis.

Pathology Review & ICD-10 Coding

All specimens are sent to pathology to check for dysplasia or early cancer. Each confirmed diagnosis is then documented using the appropriate ICD-10 code (for example, K63.5 for colon polyps) to ensure accurate records and guide follow-up care.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for sessile serrated lesions.

1. Diet and Lifestyle Support

  • Increase intake of fruits, vegetables, and whole grains
  • Stay well-hydrated to support colon health
  • Cut back on red and processed meats
  • Stop smoking and limit alcohol consumption

2. Medications

  • Low-dose aspirin to help reduce polyp risk
  • Calcium or vitamin D supplements, if indicated

3. Endoscopic Treatment

  • Endoscopic Mucosal Resection (EMR) for complete lesion removal
  • High-definition colonoscope for precise detection
  • Minimally invasive procedure with same-day recovery
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 a sessile serrated lesion without dysplasia?

It is a flat polyp with early changes. It still needs to be removed to prevent cancer.

How often should I get checked after removal?

Most people need another colonoscopy in three to five years, depending on the polyp type and personal risk.

Can my diet help prevent these lesions?

Yes. A healthy, high-fiber diet may lower your risk, but colonoscopies remain the best way to detect and remove them.

What is the ICD-10 code for this condition?

It's the medical code used for documentation and insurance. It helps keep your care organized and accurate.

Is this condition passed down in families?

Most sessile serrated lesions are not inherited; however, a strong family history of polyps or colorectal cancer may increase your risk.

Will the procedure hurt?

No. You will receive medication to help you relax, and most people feel no discomfort during the procedure.

Where can I learn more?

Visit the American Gastroenterological Association's website at gastro.org for additional resources and information.

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