“…In clinics, during endoscopic lithotomy, saline irrigation after mechanical lithotripsy has been demonstrated to be effective in reducing the recurrence rate of common bile duct stones, possibly by cleaning stone fragments [ 97 ]. In an animal model with chronic proliferative cholangitis, antibiotic irrigation effectively decreased the quantity of residual Escherichia coli in the biliary system and reduced the concentration of LPS and the expression of monocyte chemoattractant protein-1 (MCP1), cluster of differentiation 14 (CD14), cyclooxygenase-2, protein kinase C (PKC), Nuclear factor Kappa beta, C-myc, Interleukin(IL)-6, TNF-α, transforming growth factor-β1, β-glucuronidase, and MUC5AC [ 84 ].…”