Colon Cancer Prevention Using Selenium

Selenium's ability to prevent colorectal cancer (CRC) has been suspected for nearly 30 years, but has never been directly studied in humans. The investigators will directly assess selenium's ability to prevent CRC by measuring alterations in aberrant crypt foci (ACF), an accepted surrogate marker for CRC. ACF's are very small (i.e., microscopic) collections of abnormally shaped cells that are a commonly used marker of CRC risk. Screening colonoscopy at UIC routinely uses methods that allow ACF counting to be done as a part of standard practice. ACF's are not fixed, like polyps or cancers, but can disappear as a person's risk for developing CRC decreases. The investigators propose giving patient's with 6 or more ACF's 200 mcg selenized yeast or placebo, and determining if there is a drug-dependant decrease in ACF number. The primary objective is to determine whether selenized yeast supplementation, compared to placebo, causes significant reduction of ACF number from baseline levels. The primary endpoint will be change in ACF number

Inclusion Criteria: - All non-pregnant patients >50 years of age Exclusion Criteria: The following will be specifically looked for, and result in patients not being eligible for study enrollment: Use of non-steroidal anti-inflammatory drugs or glucocorticosteroids within 60 days of study entry. History of chronic IBD or prior pelvic radiation (inflammation distorts crypt pattern). Intake of any selenium supplements within 60 days of study entry, including vitamins. Patients with increased bleeding risk from biopsy protocol (i.e. renal failure, decompensated cirrhosis, blood dyscrasia).