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A drug that
has been effective in treating a rare bowel disease may also reduce
the incidence of colon abnormalities that could lead to colorectal
cancer, according to a study published in the Annals of Internal
Medicine.
Researchers
at the colonoscopic surveillance program at the University of
Washington in Seattle, Washington, examined 59 men and women who
have both sclerosing cholangitis, a rare disorder that causes
inflammation of the bile ducts in and around the liver, and ulcerative
colitis, inflammation of the colon.
These patients
face an unusually high risk of developing colorectal cancer. Past
studies indicate that after 25 years of colitis, their risk increases
to about 50%.
Although
half of these patients who had used the drug did develop bowel
abnormalities, 85% of those who did not develop abnormalities
had taken ursodiol.
The researchers
concluded, "we found a strong association between ursodiol use
and a lower prevalence of colonic dysplasia [colon abnormality]
in patients with ulcerative colitis and primary sclerosing cholangitis,
one of the groups at highest risk for colorectal cancer."
This study
provides "a compelling argument," the researchers wrote, for additional
clinical trials using the drug ursodiol with other high risk groups.
Other
Sources: Annals of Internal Medicine
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