Perioperative medicine & outcomes

Perioperative anesthesia management of GLP-1 receptor agonists: a systematic review of potential risks

Perioper Med (Lond)Published Systematic review

Authors' conclusion

Although most of the studies reported an association between GLP-1 RA and increased residual gastric contents, evidence linking these medications to a statistically significant rise in regurgitation or aspiration events remains highly inconsistent.

Study context

Population
Perioperative patients taking GLP-1 receptor agonists32 articles
Comparison
GLP-1 RA use vs no use
Outcome
Regurgitation and aspiration events
Methodological detailsPRISMA, Search of PubMed, Google Scholar, SCOPUS, MEDLINE and EMBASE from inception to January 17, 2025
  • PRISMA
  • Search of PubMed, Google Scholar, SCOPUS, MEDLINE and EMBASE from inception to January 17, 2025

Pooled result

As reported in the abstract

  • Most studies reported an association between GLP-1 RA and increased residual gastric contents
  • Evidence linking GLP-1 RAs to a statistically significant rise in regurgitation or aspiration events highly inconsistent

Original publication

Perioperative anesthesia management of GLP-1 receptor agonists: a systematic review of potential risks. Perioper Med (Lond). Published 21 February 2026. doi:10.1186/s13741-026-00662-9

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