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Treatment of renal calcium stone disease with the synthetic glycosaminoglycan pentosan polysulphate

✍ Scribed by B. Fellström; U. Backman; B. Danielson; B. Wikström


Publisher
Springer-Verlag
Year
1994
Tongue
English
Weight
255 KB
Volume
12
Category
Article
ISSN
0724-4983

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✦ Synopsis


Glycosaminoglycans (GAGs)

are potent inhibitors of calcium oxalate growth and aggregation. The synthetic G A G pentosan polysulphate (PPS) was used in the treatment of patients with renal calcium stone disease. Altogether, 121 patients were included in an open trial over a 3-year-period. The average stone episode rate and the stone operation rate were no different during treatment and in the pretreatment period. Altogether 48% of the patients were entirely stone-free during follow-up, whereas 29/56 patients who continued to form stones reported smaller stones that were more easily passed. It is concluded that there may be a role for PPS in the treatment of recurrent renal calcium stone disease, but a controlled study may be needed.