Gastric Content Aspiration
Conditions
Brief summary
This study will enroll patients ages 18 and over who are in one of the following groups 1) taking a GLP-1 receptor agonist medication 2) not taking a GLP-1 receptor agonist (control group), are undergoing EGS and have appropriately fasted. Study data will be collected in the form of qualitatively observing whether the stomach is empty as expected, or contains solid or clinically relevant liquid contents.
Interventions
All patients will undergo an esophagogastroduodenoscopy per standard of care, as scheduled.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults 18 years of age and older presenting for esophagogastroduodenoscopy (EGD) * One of the following groups: * GLP-1 receptor agonist cohort: active treatment with any GLP-1 receptor agonist therapy within prior 30 days * Control cohort: not taking a GLP-1 receptor agonist medication * Appropriately fasted per ASA Fasting Guidelines
Exclusion criteria
* Simultaneous bowel preparation/planned dual endoscopy with colonoscopy * Any pre-planned alteration to standard fasting guidelines (ASA NPO guidelines) * Emergency endoscopic procedure * Concern for active GI bleeding * Food impaction/foreign body as indication for procedure * Gastric outlet obstruction/bowel obstruction * Achalasia * Zenker's diverticulum * History of esophageal or gastric surgery * Active pregnancy * Chronic daily opioid therapy ≥ 15 MMEs per day * Prokinetic agent use (i.e. metoclopramide) * Inability or unwillingness of subject to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Retained gastric food | From time of enrollment until the end of surgery, assessed up to 4 weeks | Incidence of clinically significant retained gastric food, defined as visible solid/particulate matter, or liquid volume \> 1.5cc/kg |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of pulmonary aspiration event | From the time surgery begins until the end of scheduled surgery, assessed up to 24 hours |
Countries
United States