Sessile serrated lesions are flat or slightly raised growths in the lining of the colon. Unlike typical polyps, they display a saw-tooth pattern under the microscope and are most often found on the right side of the colon. Although they may look harmless, these lesions can slowly turn into colorectal cancer if not removed early.
Most SSLs don't cause noticeable symptoms and are discovered during routine colonoscopies. When symptoms do appear, they may include:
While the exact cause of SSLs is still under investigation, several risk factors have been linked to their development:
At GastroDoxs in Katy, our board-certified gastroenterologists focus on the early detection and safe removal of sessile serrated lesions using the latest endoscopic techniques. From easy-to-follow prep instructions to personalized follow-up plans, we deliver compassionate, patient-centered care every step of the way. Don't wait - early intervention can prevent colorectal cancer and give you peace of mind.
We've successfully treated more than 48K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
SSLs are flat or slightly raised lesions with a characteristic saw-tooth microscopic pattern, most often found in the right colon, making them harder to spot and more prone to silent growth compared to typical polyps.
SSLs can take 5-10 years to progress to cancer, which is why early detection and removal during routine colonoscopies are crucial for prevention.
Pathology reports describe the serrated (saw-tooth) glandular pattern and may note dysplastic changes, indicating cells that could evolve into malignancy if not treated.
Follow a clear liquid diet the day before, use a split-dose bowel prep solution as instructed, and avoid solid foods prior to your procedure for a clean, thorough exam.
While some inherited syndromes can increase the risk of serrated lesions, most SSLs occur sporadically; a family history of colon issues may warrant earlier or more frequent screening.
Yes. Diets high in fiber and low in red or processed meats can help lower your risk, whereas high-fat, low-fiber diets may contribute to lesion formation.
During colonoscopy, your doctor may perform endoscopic mucosal resection (EMR), hot-snare polypectomy, or ablation/cryotherapy to safely lift and excise the lesion.
Your follow-up interval depends on lesion size, number, and pathology findings, ranging from annual to every five years, as recommended by your gastroenterologist.
Yes. SSLs can recur or new lesions can develop, which is why regular surveillance colonoscopies are essential to maintain colon health.
GastroDoxs in Katy offers board-certified gastroenterologists using advanced endoscopic tools to detect and treat SSLs; call today to schedule your appointment.
