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Top Sessile Serrated Lesions Doctor

Sessile serrated lesions (SSLs) are colon polyps which develop in malignant way but they are likely to be undiagnosed. Dr. Its highest imaging, endoscopic techniques and individualized care help Rishi Chadha at GastroDoxs in Houston, to discover, remove and cure the patient with the power of SSLs so that she or he could shield his or her colon health.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Are Sessile Serrated Lesions?

  • Colon polyps that are either raised slightly or flat.
  • May be low growing, hard to detect on colonoscopy.
  • In the microscope it appears saw toothed.
  • Not cancerous and can become cancerous over time.

Common Causes and Risk Factors

  • Age over 50
  • Family history of colorectal cancer or colon polyps on the part of the patient.
  • History of inflammatory bowel disease (Crohn or ulcerative colitis)
  • Smoking or heavy alcohol use
  • Unhealthy or unfit body size.
  • Certain family gene mutation.

Signs and Symptoms

  • None of the symptoms is common in the initial stages.
  • Belly cramps or discomfort
  • Rectal haemorrhage or stool blood.
  • Bowel malfunctions (constipation or diarrhea)
  • Slow, prolonged blood loss causes drowsiness.

How Dr. Rishi Chadha Diagnoses Sessile Serrated Lesions?

Dr. Rishi Chadha uses advanced diagnostic techniques:

Colonoscopy with High-Definition Imaging

He employs the state of art HD endoscopes in determining flat or shallow serrated polyps during a normal colonoscopy.

Biopsy and Pathologic Evaluation

Sessile serrated lesions and dysplasia is confirmed by taking specific tissue samples under the microscope.

CT Colonography (Virtual Colon Exam)

Another non-invasive imaging, which provides the detailed picture of the entire colon where it is required.

ICD-10 Coding for Accurate Records

Code D12.9 ( benign neoplasm of colon, unspecified) is coded in such a way that it is reported correctly and follow-up arrangements developed.

Genetic Testing for High-Risk Patients

Should be applied in the children whose family has a history of colorectal polyps or cancer to identify a genetical predisposition.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Changes

  • Consume fewer fats (meat, milk, fats, etc.)
  • Consumption of red meat and processed food should be reduced.
  • Be active Move daily 30 minutes.
  • Quit smoking and reduce the amount of alcohol.

2. Medications

  • Aspirin (anti-inflammatory drugs exclusively with a recommendation) and low dose aspirin.
  • Supplements Vitamin D and calcium (as advised).

3. Minimally Invasive Procedures

  • Snare polypectomy Cold snare: Lesions.
  • Endoscopic mucosal resection (EMR): It is applied in large or problematic polyps.
  • Chromoendoscopy: It means the utilization of the dye to view the flat lesions.
  • Follow-up colonoscopy: The follow up colonoscopy is as per the findings; 3-5 years.
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

So what is sessile serrated lesion?

A high or a flat colon polyp filled with tooth-like cells, which can cause cancer in case of neglect.

Do you have any cancer lesions there?

No. SSs start to be non-cancerous, whereas some of them may, over time, acquire cancer unless they are taken out.

What are the distinctions between sessile serrated lesions and adenoma?

The shape of SSLs is asymmetrical in terms of cell patterns of serrated (saw-tooth) cells and they are likely to be hidden in the folds of the colon unlike adenoma, which presents a different pattern of a cellular structure.

What is the ICD-10 code of sessile lesion serrated?

D12.9 benign colon neoplasm, unspecified.

Can one have a lesion without dysplasia?

Yes. The symptoms of an early onset of cancer are not seen in dysplastic SSLs, and yet, the surgical operation is necessary to prevent the occurrence of this.

How often would I conduct my follow-up screen?

Typically, the size, the number and pathology of the removed polyps determine when to do this (usually after 3-5 years).

Have diet and lifestyle interventions reduced my risk?

Yes. Eating more fiber, eating less red meat and processed meat, exercising, quitting smoking and alcohol in moderation can help to lower your risk.

Are there any non-surgical treatments of the SSLs?

Most of the CSSs undergo deletion by colonoscopy support and by the assistance of the minimally invasive measures like the cold snare polypetomy or endoscopic mucosal resection.

Does my family history predispose my risk?

Yes. The occurrence ofSSLs is predisposed by the presence of a parent/sibling with colon polyps or colorectal cancer.

What are some pre-colonoscopy instructions?

Among the instructions is the use of bowel prep kit which Dr. Chadha prescribed, taking the Kit, adhering to the clear liquid diet, and coming to the procedure well-hydrated.

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