title: [Dissolution of pancreatic calcifications with oral citrates in a woman with chronic idiopathic pancreatitis].
abstract: Pain control is one of the most important objectives in the medical treatment of patients with chronic calcifying pancreatitis (CCP). It is generally accepted that pain in CCP is secondary to the obstruction of the pancreatic duct by calcifications, protein plugs and stenotic areas. Experimental studies have shown that calculi and protein plugs are soluble in citrates. We report here the case of a young non alcoholic woman with idiopathic CCP who after a pancreatojejunostomy developed again pain and pancreatic calcifications which were dissolved with oral citrates. The case confirms previous observations and illustrates the potential use of citrates in subjects with CCP.
authors.affiliation: Departamento de Gastroenterología, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
authors.forename: L
authors.initials: L
authors.lastname: Uscanga
authors.forename: E
authors.initials: E
authors.lastname: Galván Guerra
authors.forename: G
authors.initials: G
authors.lastname: Robles-Díaz
authors.forename: M
authors.initials: M
authors.lastname: Campuzano Fernández
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D000284:Administration, Oral; D000328:Adult; D002114:Calcinosis / Q000150:complications / Q000188:drug therapy* / Q000601:surgery; D002908:Chronic Disease; D002951:Citrates / Q000008:administration & dosage / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D010182:Pancreatic Diseases / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D010195:Pancreatitis / Q000150:complications / Q000188:drug therapy* / Q000601:surgery
chemical_list: D002951:Citrates
vernacular_title: Disolución de calcificaciones pancreáticas con citratos por vía oral en una mujer con pancreatitis crónica idiopática.