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World J Gastroenterol. Nov 21, 2021; 27(43): 7423-7432
Published online Nov 21, 2021. doi: 10.3748/wjg.v27.i43.7423
Idiopathic chronic pancreatitis: Beyond antioxidants
Rajiv M Mehta, Stephen J Pandol, Prachi R Joshi
Rajiv M Mehta, Department of Gastroenterology, Surat Institute of Digestive Science (SIDS) Hospital and Research Centre, Surat 395002, Gujarat, India
Stephen J Pandol, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, United States
Prachi R Joshi, Department of Gastroenterology and Clinical Research, SIDS Hospital and Research Centre, Surat 395002, Gujarat, India
Author contributions: Mehta RM, Pandol SJ, and Joshi PR were equally involved in writing the manuscript;Pandol SJ provided final approval of the manuscript; All authors meet the criteria for authorship established by the International Committee of Medical Journal Editors and verify the validity of the results reported.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Open-Access: This article is an open-accessarticle that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rajiv M Mehta, DNB, MBBS, MD, Consultant Physician-Scientist, Department of Gastroenterology, Surat Institute of Digestive Science (SIDS) Hospital and Research Centre, Opp. Gandhi College, Majura Gate, Surat 395002, Gujarat, India. clinicalgastroenterology@gmail.com
Received: March 30, 2021
Peer-review started: March 30, 2021
First decision: June 26, 2021
Revised: July 5, 2021
Accepted: October 27, 2021
Article in press: October 27, 2021
Published online: November 21, 2021
Core Tip

Core Tip: The clinical management of a majority of chronic diseases has seen a paradigm shift over the last two decades. To date, however, a well-defined standard of care has not been established for patients with chronic pancreatitis (CP). Lack of sufficient scientific evidence regarding the use of antioxidant supplementation, in particular, provides opportunities to repurpose drugs and study their efficacy and safety in clinical trials. Statins and N-acetylcysteine represent two of the most promising molecules for the treatment of CP, today.