Usman A

The Independent National Electoral Commission (INEC) yesterday said the commission is fully ready to conduct credible elections during the

A mobile court in Benin, Edo State, has sentenced a commercial bus driver, Tobore Emurerhi, to four days of community service over reckless driving

The Edo State Government said it has recorded three deaths from Lassa fever within 24 hours, bringing the total number of deaths to

The Edo State Commissioner of Police, Muhammed Dankwara, has warned political parties and their candidates that 2023 election...

A former Assistant Inspector General of Police (AIG), Ambrose Aisabor (Rtd), has charged security agencies to deal ruthlessly with electoral offenders.

The Chairman of the Edo State Muslim Pilgrims Welfare Board, Sheik Ibrahim Oyarekhua, has said that the National Hajj Commission...

The Oba of Benin, Oba Ewuare II, has cautioned politicians and other stakeholders in Nigeria’s elections against violence....

The Belgium chapter of the Neo Black Movement of Africa (NBM), has constructed a borehole for Ologbo N’Ugu Community in Orhionmwon LGA of Edo

Two of the suspected kidnappers who killed three police officers in Agor community on the Igarra-Auchi road in Edo State have died of bullet

Endoscopic retrograde cholangiopancreatography (ERCP) with endoscopic sphincterotomy (EST) has been proven efficacious in the removal of CBD stones. Even after endoscopic stone removal, recurring cholangitis due to a residual common bile duct (CBD) stone is prevalent in clinical practice with a residual recurrence rate of 4-24% after successful stone retrieval. This comprehensive study and meta-analysis aimed to determine if preventive saline irrigation of the bile duct (PSIB) reduces the amount of residual CBD stones. Through a comprehensive search of PubMed, EMBASE, Cochrane Library, and Web of Science until November 20, 2022, we identified 164 articles comparing the efficacy of PSIB and non-PSIB post-endoscopic CBD stone removal. After stringent selection, three studies were included for meta-analysis using ReviewManager (ReVman version 5.4.1; Cochrane, London, UK). Using a random effect (RE) model, we derived a pooled odds ratio (OR) with confidence interval (CI) (95%CI). A total of three studies have been included in the analysis. Out of which, two are randomized controlled trials (RCTs) and one is a non-randomized study. Out of 323 patients, 157 underwent PSIB after an endoscopic stone removal of CBD stones to reduce the residual of CBD stones, whereas 166 did not undergo saline irrigation (non-PSIB). In our analysis, PSIB significantly reduced the risk of residual stones (OR: 0.22, 95%CI: 0.11-0.45). However, there was no notable link between PSIB and post-irrigation cholangitis (OR: 1.08, 95%CI: 0.21-2.21). Although not statistically significant, PSIB showed a trend toward lowered risks of post-procedural pancreatitis (OR: 0.65), bleeding (OR: 0.68), and other complications (OR: 0.64). PSIB effectively reduces residual CBD stones after endoscopy, offering a cost-effective alternative to invasive procedures such as intraductal ultrasound (IDUS). However, larger RCTs are needed to validate its definitive role.