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Population screening for faecal occult blood reduces mortality from colorectal cancer. The finding is so well established that further trials seem unnecessary. However, if you do find yourself recruited to such a study and are randomised to the screening arm, do get your stools tested as the study dictates. Two studies in this month's Gut show that colorectal cancer mortality increases in those who fail to follow screening protocols assiduously. See 29 and 33
Alcohol is really noxious to much of the digestive tract, although some organs bear the brunt of the damage. The large bowel may seem to have escaped the worst of the harm, yet some studies do indicate a weak association of alcohol with colorectal cancer. Now from the homeland of the world's greatest winescomes the news that heavy drinkers who already have a polyp run an increased risk of developing high risk colorectal adenomas and also
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