Impact of Discontinuing GLP-1 Receptor Agonists for Two Weeks Prior to Upper Endoscopy on the Risk of Gastric Retention

NCT ID: NCT07276763

Last Updated: 2025-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

16509 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-12-10

Study Completion Date

2025-12-15

Brief Summary

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A retrospective observational study to explore the impact of discontinuing GLP-1 receptor agonists for two weeks prior to upper endoscopy on the risk of gastric retention

Detailed Description

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Glucagon-like peptide-1 receptor agonists (GLP-1RAs), including semaglutide, liraglutide, and dulaglutide, are widely used for the management of type 2 diabetes and obesity. These agents improve glycemic control in part by delaying gastric emptying, but this pharmacologic effect may increase the risk of retained gastric contents (RGC) and aspiration during anesthesia or sedation. In 2023, the American Society of Anesthesiologists (ASA) and the American Society for Gastrointestinal Endoscopy (ASGE) issued recommendations to withhold GLP-1RAs before procedures; however, the optimal discontinuation interval remains uncertain.

Using the electronic medical record system of Huadong Hospital, this retrospective study analyzed patients who underwent upper endoscopy between August 2023 and May 2025 to examine the association between different GLP-1RA exposure patterns and the risk of RGC, providing evidence to inform optimization of pre-procedural discontinuation strategies.

Conditions

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Gastric Retention

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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No GLP-1RA group

Patients with no prescription record of GLP-1RAs, or whose most recent prescription was more than 3 months before the EGD

No Intervention: Observational Cohort

Intervention Type OTHER

No Intervention: Observational Cohort

GLP-1RA Continued group

Patients who met both of the following criteria:

1. Continued use of a GLP-1RA (e.g., semaglutide or dulaglutide) within 3 months prior to EGD;
2. Underwent painless EGD before August 2024, when our institution had not yet implemented restrictions on GLP-1RA use for painless endoscopy.

No Intervention: Observational Cohort

Intervention Type OTHER

No Intervention: Observational Cohort

GLP-1RA Held 2 Weeks group

Patients who met both of the following criteria:

1. Continued use of a GLP-1RA (e.g., semaglutide or dulaglutide) within 3 months prior to EGD;
2. Underwent painless EGD after August 2024, when institutional policy mandated that patients discontinue GLP-1RAs for at least 14 days prior to painless EGD.

No Intervention: Observational Cohort

Intervention Type OTHER

No Intervention: Observational Cohort

Interventions

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No Intervention: Observational Cohort

No Intervention: Observational Cohort

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Undergoing elective upper endoscopy
* Complete clinical information available, including endoscopy report, age, sex, BMI, history of diabetes, prior gastric surgery, and gastrointestinal symptom

Exclusion Criteria

* Presence of upper gastrointestinal malignancy or obstruction
* History of gastric surgery (including ESD, gastrectomy, gastric bypass, etc.)
* Emergency endoscopy or non-elective procedures
* Missing key clinical information
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhijun Bao

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Danian Ji, M.D.

Role: STUDY_DIRECTOR

Huadong Hospital

Locations

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Huadong hospital, Fudan university

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Danian Ji, M.D.

Role: CONTACT

+86-18019094606

Zhiyu Dong, M.D.

Role: CONTACT

+86-18817870866

Other Identifiers

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2025K368

Identifier Type: -

Identifier Source: org_study_id

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