Airway management

Glucagon-like peptide-1 receptor agonists and retained gastric contents on endoscopy: a prospective observational study

Can J AnaesthPublished Prospective observational study

Authors' conclusion

In this small observational study, no statistically significant increase in RGC was noted when preprocedural instructions advised patients to hold GLP-1 RAs 1 week prior to endoscopy and follow a preprocedural 24-hr clear liquid diet.

Study context

Population
Patients scheduled for elective endoscopy involving stomach visualization
Participants
256 patients
Exposure
GLP-1 RA users vs controls
Outcome
Retained gastric contents (solid content or liquid-only content > 1.5 mL·kg-1 body weight)

Main finding

As reported in the abstract

Incidence of retained gastric contents (RGC)

P = 0.55

Observational data: associations, not effects.

Secondary outcomes

Endoscopy physician-reported concern of significant gastric contents

Safety

No occurrences of aspiration events, procedure abortion, or relevant conversion to GA

Original publication

Glucagon-like peptide-1 receptor agonists and retained gastric contents on endoscopy: a prospective observational study. Can J Anaesth. Published 19 August 2026. doi:10.1007/s12630-026-03186-4

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