Effects of Glucagon-Like Peptide-1 Receptor Agonists on Gastric Mucosal Visibility and Retained Gastric Contents During Esophagogastroduodenoscopy.
Gastrointest Endosc
; 2024 May 15.
Article
en En
| MEDLINE
| ID: mdl-38759761
ABSTRACT
BACKGROUND AND AIMS:
Glucagon-like peptide-1 receptor agonists (GLP-1RA) are increasingly utilized in diabetes and obesity management. GLP-1RAs delay gastric emptying; however, their impact on visibility during esophagogastroduodenoscopy (EGD) remains uncertain.METHODS:
A 11 matched case-control study was conducted. Individuals undergoing EGD on GLP-1RAs were matched to non-users based on demographics and diabetes status. A validated scale (POLPREP) was used to determine gastric mucosal visibility scores.RESULTS:
A total of 84 pairs (n=168) were included. GLP-1RA users showed significantly lower visibility scores, with a 2.54 times higher likelihood of lower scores compared to non-users. Additionally, GLP-1RA users had a higher incidence of retained gastric contents (13.1% vs. 4.8%, aOR4.62, p=0.025) and aborted procedures due to this issue. No anesthesia-related adverse events were observed.CONCLUSIONS:
GLP-1RA use at the time of endoscopy exhibited higher odds of lower gastric mucosal visibility scores, retained contents and aborted procedures. Further research is warranted.
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Base de datos:
MEDLINE
Idioma:
En
Revista:
Gastrointest Endosc
Año:
2024
Tipo del documento:
Article