Sessile serrated polyposis syndrome


Sessile Serrated Polyposis Syndrome (SSPS), also known as Sessile Serrated Adenoma Polyposis (SSAP), is a condition characterised by the presence of multiple serrated polyps in the colon. These polyps are a specific type of colon polyp that have the potential to become cancerous. Here is important patient information regarding SSPS:


Definition and Characteristics:

SSPS is defined by the presence of multiple serrated polyps, which are flatter and more difficult to detect than traditional polyps.

These polyps often occur in the right side of the colon.


Causes and Risk Factors:

The exact cause of SSPS is not well understood.

Genetic factors may play a role, but most cases occur sporadically.

Risk factors may include age, family history of colorectal cancer, and possibly lifestyle factors.


Symptoms:

SSPS often does not cause any symptoms.

When symptoms occur, they can include changes in bowel habits, blood in stool, abdominal pain, or unexplained anaemia.

Many cases are discovered incidentally during screening colonoscopies.


Diagnosis:

Diagnosis is usually made during a colonoscopy, where the distinctive serrated polyps are identified.

Pathological examination of removed polyps confirms the diagnosis.

Genetic counselling and testing may be recommended in some cases.


Treatment and Management:

The main treatment is the regular removal of polyps through colonoscopy to reduce the risk of them turning into cancer.

Frequency of surveillance colonoscopies depends on the number, size, and characteristics of the polyps.

Patients are often advised to follow a regular screening program due to the increased risk of colorectal cancer.


Complications:

The major complication of SSPS is an increased risk of developing colorectal cancer.

Regular monitoring and polyp removal are crucial to prevent this progression.


Lifestyle and Diet:

There are no specific lifestyle or dietary recommendations for SSPS, but a healthy diet rich in fruits, vegetables, and fibre, and low in red and processed meats, may be beneficial.

Avoiding smoking and excessive alcohol consumption is also advisable.


Support and Counselling:

Psychological support and counselling can be beneficial, as the diagnosis and ongoing surveillance can be stressful.

Joining support groups where experiences and information are shared can be helpful.



Research and Future Directions:

Research into the genetic and molecular aspects of SSPS is ongoing, which may lead to more targeted prevention and treatment strategies in the future.

It's important for patients with SSPS to maintain regular follow-up with their healthcare provider, adhere to recommended surveillance colonoscopy schedules, and discuss any concerns or changes in their condition.


This information is for educational purposes and should replace professional medical advice. Always consult a healthcare provider for individual advice and treatment.