Paediatric anaesthesia & critical care

Delayed gastric emptying in adolescent patients on GLP-1 receptor agonists with standard preoperative fasting guidelines: a prospective cohort study

Br J AnaesthPublished Prospective cohort study

Authors' conclusion

We observed that 80% of adolescents on GLP1-RAs had solids on gastric ultrasound despite having fasted for over 12 h.

Study context

Population
Adolescents (10–18 yr) fasted 8 h for solids and 1 h for clear liquids, single institution, June 2023–November 2024analysed
Participants
67 adolescents
Exposure
GLP1-RA vs At-risk vs Control
  • GLP1-RAn = 20
  • At-riskn = 27
  • Controln = 20reference
Outcome
Residual gastric contents on gastric ultrasound (presence of solids or gastric fluid volume ≥1.5 ml kg-1)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Solids present on gastric ultrasound

GLP1-RA vs At-risk vs Control: P < 0.001 · GLP1-RA vs At-risk vs Control: P < 0.02

Observational data: associations, not effects.

Further findings

Actual fasting duration (all patients)

Solids, median 13 h (IQR 12-14)
13
Clears, median 12 h (IQR 3.5-13)
12

Original publication

Delayed gastric emptying in adolescent patients on GLP-1 receptor agonists with standard preoperative fasting guidelines: a prospective cohort study. Br J Anaesth. Published 8 September 2026. doi:10.1016/j.bja.2026.07.016

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