“…This is in agreement with findings from previous studies in which consumption of pickled food items, salt, and pepper was associated with a higher cancer risk (including esophageal cancer) [10,57,58]. The principal pungent ingredient in hot red chilies (capsaicin) has shown a dual role in carcinogenesis and mutagenesis [59,60], and its effect depends on the dose, route of administration, and type of tissue affected [59,60]. …”