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Colon Polyps
  Colon Polyps
 Contributing risk factors
 Treatment recommendations
 


Colon polyps come in two forms, namely hyperplastic and adenomatous. Hyperplastic polyps are benign and do not indicate any future problems with colon cancer, whereas adenomatous polyps are precancerous and, if left in place, can eventually develop into colon cancer. These are the types of polyps that are sought during a flexible sigmoidoscopy or colonoscopy.

Prognosis


Early removal of the polyp results in a significant decrease in the chances that a patient will develop colon cancer. People with a prior colon polyp have as much as a 50% chance of developing more colon polyps within three years of their diagnosis.





Risk factors for Colon Polyps:
Symptoms - Gas-Int - Conditions  (History of) colon polyps (confirmed)

Counter-indicators:
  No history of colon polyps

Recommendations and treatments for Colon Polyps:
Amino Acid / Protein  Cysteine / N-Acetyl-Cysteine (NAC)
 Supplementation with NAC has been shown to reduce the proliferation of certain cells lining the colon and may reduce the risk of colon cancer in people with recurrent polyps in the colon. [Estensen RD, Levy M, Klopp SJ, et al. N-acetylcysteine suppression of the proliferative index in the colon of patients with previous adenomatous colonic polyps. Cancer Lett 1999;147: pp.109-14].

Diet

  Soy Isoflavones (genistein, daidzein)
 Men who eat one or more servings of soy per week reduce the risk of developing colon polyps by half. [ Am J Epidemiol 1996;44(11): pp.1015-25]

Drug

  NSAIDs
 Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) could act to prevent the development of polyps in the colon, which are precursors to most colorectal cancers. In one study, patients who took aspirin or other NSAIDs more than 15 times per month at some time during the five years prior to the study were defined as "regular users"; patients who never took medication more than 15 times per month were defined as "non-users". After accounting for factors such as diet, lifestyle and family medical history, Dr. Sandler found that regular users of aspirin and other NSAIDs were only half as likely to harbor colon polyps as non-users.

"Our study supports the idea that some mechanism in aspirin and other NSAIDs has a protective effect when it comes to colon cancer," said Dr. Sandler. "More significantly, our results indicate that this protective effect occurs early in the process of cancer development, helping us to pinpoint where in the cancer development sequence these drugs might work best." [ Gastroenterology, March 1998]


KEY
Proven definite or direct link
Strongly counter-indicative
May do some good
Likely to help


GLOSSARY

Anti-inflammatory (Antiinflammatory)
Reducing inflammation by acting on body mechanisms, without directly acting on the cause of inflammation, e.g., glucocorticoids, aspirin.

Benign
Literally: innocent; not malignant. Often used to refer to cells that are not cancerous; they tend to grow slowly and don't spread (metastasize) like cancer tumors do.

Cancer
Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.

Colon (Colonic)
The part of the large intestine that extends to the rectum. The colon takes the contents of the small intestine, moving them to the rectum by contracting.

Colonoscope (Colonoscopy)
A thin, flexible 'telescope' that is passed up from the anus in order to examine the bowels.

NSAID (NSAIDs)
Non-steroidal anti-inflammatory drug.

Polyp (Polyps)
A usually nonmalignant growth or tumor protruding from the mucous lining of an organ such as the nose, bladder or intestine, often causing obstruction.




Last updated: Jul 19, 2008


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