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Fish may help fight bowel cancer | In people whose genetic make-up predisposes them to
bowel cancer, a purified form of an omega 3 cuts the number and size of precancerous bowel growths (polyps), says a new study. The study has been published in the
journal Gut. Furthermore, this particular omega 3 (eicosapentaenoic acid or EPA)
seems to be as effective as the prescription medicine used to treat familial bowel
polyps, but without the associated cardiovascular side effects. Dietary omega
3 PUFA mainly comes from oily fish, such as salmon, mackerel, and herring. The
researchers based their findings on 55 patients, all of whom had the inherited
genetic mutation that prompts the development of precancerous polyps in the bowel
- known as familial adenomatous polyposis, or FAP for short. People with FAP are
at significantly increased risk of developing bowel cancer and require surgery
to remove large sections of their bowel. Subsequently, some also need regular
monitoring. All 55 patients had previously undergone surgery and were being monitored
by endoscopy - a procedure involving a camera on the end of a flexible tube passed
through the rectum. Twenty-eight of the patients were randomly assigned to six
months of treatment with 2 g daily of a new highly purified form of the omega
3 polyunsaturated fatty acid (PUFA) EPA. The other 27 were given the same amount
of a dummy treatment (placebo). The EPA capsules were enteric coated to prevent
the indigestion that can sometimes be associated with omega 3 supplements. An
assessment of the number and size of polyps at the beginning and end of the six
month study period revealed significant differences between the two groups of
patients. The number of polyps increased by almost 10 percent among those treated
with the placebo, but fell by more than 12 percent among those treated with the
EPA capsules, representing a difference of almost 22.5 percent. This was still
clinically significant, even after taking account of influential factors, such
as age and sex. Similarly, polyp size increased by more than 17 percent among
those in the placebo group but fell by more than 12.5 percent in those taking
the EPA capsules, representing a difference of just under 30 percent.
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