{"id":302,"date":"2016-07-13T11:03:54","date_gmt":"2016-07-13T09:03:54","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/"},"modified":"2018-03-14T12:19:01","modified_gmt":"2018-03-14T11:19:01","slug":"how-can-i-identify-sessile-serrated-adenomas","status":"publish","type":"bildergalerie","link":"https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/","title":{"rendered":"How can I identify sessile serrated adenomas?"},"content":{"rendered":"<h2>Figure 1<\/h2>\n<p class=\"bodytext\">A typical example in a colon that is not fully cleansed. After rinsing, there is still a slight mucous, yellowish residue over a swelling (Fig. 1a). On a closer top view, the polyp becomes clearer (Fig. 1b), and after full suctioning it then appears all the more clearly as a glassy swelling (Fig. 1c). On close-up viewing, the soft SSA components become particularly clear (Fig. 1d), and they are clearly demarcated after injection of saline with blue dye (Fig. 1e).<\/p>\n<div id='gallery-1' class='gallery galleryid-302 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1a.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-336\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1a.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1a-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1a-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-336'>\n\t\t\t\tAfter rinsing, there is still a slight mucous, yellowish residue over a swelling \n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1b.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-337\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1b.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1b-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1b-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-337'>\n\t\t\t\tOn a closer top view, the polyp becomes clearer\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1c.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-338\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1c.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1c-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1c-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-338'>\n\t\t\t\tAfter full suctioning it then appears all the more clearly as a glassy swelling\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1d.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-339\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1d.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1d-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1d-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-339'>\n\t\t\t\tOn close-up viewing, the soft SSA components become particularly clear \n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1e.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-340\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1e.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1e-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_1e-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-340'>\n\t\t\t\tand they are clearly demarcated after injection of saline with blue dye\n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<h2>Figure 2<\/h2>\n<p class=\"bodytext\">Here again, after rinsing there is still a focal mucous, yellowish residue over two areas of swelling (Fig. 2a). On closer viewing from above, the two polyps become more clearly demarcated (Fig. 2b). Again, the larger of the two polyps becomes clearly distinct after injection of saline with blue dye (Fig. 2c).<\/p>\n<div id='gallery-2' class='gallery galleryid-302 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_2a-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2a.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-2-341\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2a.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2a-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2a-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-2-341'>\n\t\t\t\tHere again, after rinsing there is still a focal mucous, yellowish residue over two areas of swelling \n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_2b-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2b.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-2-342\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2b.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2b-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2b-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-2-342'>\n\t\t\t\tOn closer viewing from above, the two polyps become more clearly demarcated \n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_2c-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2c.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-2-343\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2c.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2c-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_2c-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-2-343'>\n\t\t\t\tAgain, the larger of the two polyps becomes clearly distinct after injection of saline with blue dye \n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<h2>Figure 3<\/h2>\n<p>An impressive example in a patient with soiling in the right colon, where a large flat polyp may be suspected (Fig. 3a). At a repeat colonoscopy, this time with better preparation and on an in-patient basis, the polyp \u2014 again with a glassy coating \u2014 was only located after a long search (Fig. 3b). After further rinsing, however, it is only visible as a subtle irregularity; too much insufflation may have been carried out here (Fig. 3c). It is only after acetic acid staining that the contours appear clearly (Fig. 3d), with confirmation after blue dye injection (Fig. 3e).<\/p>\n<div id='gallery-3' class='gallery galleryid-302 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_3a-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3a.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-344\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3a.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3a-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3a-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-344'>\n\t\t\t\tAn impressive example in a patient with soiling in the right colon, where a large flat polyp may be suspected\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_3b-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3b.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-345\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3b.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3b-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3b-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-345'>\n\t\t\t\tAt a repeat colonoscopy, this time with better preparation and on an in-patient basis, the polyp \u2014 again with a glassy coating \u2014 was only located after a long search\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_3c-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3c.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-346\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3c.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3c-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3c-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-346'>\n\t\t\t\tAfter further rinsing, however, it is only visible as a subtle irregularity; too much insufflation may have been carried out here\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_3d-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3d.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-347\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3d.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3d-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3d-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-347'>\n\t\t\t\tIt is only after acetic acid staining that the contours appear clearly\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_3e-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3e.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-348\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3e.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3e-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_3e-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-348'>\n\t\t\t\t&#8230; with confirmation after blue dye injection \n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<h2>Figure 4<\/h2>\n<p>Some lesions may also be more elevated (Fig. 4a) and when found they are easily seen with rotation (Fig. 4b).<\/p>\n<div id='gallery-4' class='gallery galleryid-302 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_4a-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4a.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-4-349\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4a.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4a-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4a-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-4-349'>\n\t\t\t\tSome lesions may also be more elevated \n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_4b-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4b.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-4-350\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4b.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4b-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_4b-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-4-350'>\n\t\t\t\t&#8230; and when found they are easily seen with rotation\n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<h2>Figure 5<\/h2>\n<p>Sometimes the location may be the problem: the polyp in the transverse colon is noted and photographed (Fig. 5a) as the scope is advancing, and the site is marked with two biopsies facing each other (Fig. 5b). Despite this, it proves hard to locate during withdrawal, with success only after 20 minutes\u2019 searching and with a spacer cap \u2014 Fig. 5c before resection and Fig. 5d after injection with blue dye.<\/p>\n<div id='gallery-5' class='gallery galleryid-302 gallery-columns-3 gallery-size-large'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_5a-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5a.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-5-351\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5a.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5a-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5a-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-5-351'>\n\t\t\t\tSometimes the location may be the problem: the polyp in the transverse colon is noted and photographed\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_5b-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5b.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-5-352\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5b.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5b-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5b-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-5-352'>\n\t\t\t\tas the scope is advancing, and the site is marked with two biopsies facing each other\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_5c-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5c.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-5-353\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5c.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5c-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5c-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-5-353'>\n\t\t\t\tDespite this, it proves hard to locate during withdrawal, with success only after 20 minutes\u2019 searching and with a spacer cap-  before resection\n\t\t\t\t<\/figcaption><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/www.endoscopy-campus.com\/en\/bildergalerie\/how-can-i-identify-sessile-serrated-adenomas\/abb_5d-2\/#main'><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"270\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5d.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-5-354\" srcset=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5d.jpg 350w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5d-150x116.jpg 150w, https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/2016\/07\/Abb_5d-300x231.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-5-354'>\n\t\t\t\t&#8230; after injection with blue dye\n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Flat polyps are difficult to identify and may be easily overlooked, particularly in the right colon, where there is sometimes limited bowel cleansing. If a small residue of mucous, yellowish soiling is still present even after thorough rinsing, then more attentiveness is needed \u2014 a sessile serrated adenoma (SSA) may be concealed underneath it. <\/p>\n","protected":false},"featured_media":357,"template":"","categories":[77,78],"tags":[702,938,370,1015,408,952],"ec-magazin-ausgaben":[115],"sponsoren-erwaehnung":[],"autor":[],"class_list":["post-302","bildergalerie","type-bildergalerie","status-publish","has-post-thumbnail","hentry","category-galleries","category-lower-gi-tract","tag-colon-cancer","tag-colon-polyp","tag-detektionsrate-en","tag-hyperplastic","tag-screening-en","tag-ssa-en","ec-magazin-ausgaben-ec-magazine-2016-01"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/bildergalerie\/302","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/bildergalerie"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/bildergalerie"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media\/357"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=302"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=302"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=302"},{"taxonomy":"ec-magazin-ausgaben","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-magazin-ausgaben?post=302"},{"taxonomy":"sponsoren-erwaehnung","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/sponsoren-erwaehnung?post=302"},{"taxonomy":"autor","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/autor?post=302"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}