Gastric Ultrasound Assessment for Patients Taking GLP1 Agonists
Assessment of Preoperative Gastric Content With Ultrasound in Patients Taking GLP1 Agonists
1 other identifier
observational
354
2 countries
8
Brief Summary
The aim of this study is to perform bedside gastric point of care ultrasound (POCUS) exams to assess the gastric volume and content (clear liquids vs solid food) perioperatively in patients who take glucagon-like peptide 1 (GLP-1) agonist medications compared to patients who do not take GLP-1 agonists.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2023
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 15, 2023
CompletedFirst Posted
Study publicly available on registry
August 22, 2023
CompletedStudy Start
First participant enrolled
August 29, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2025
CompletedNovember 26, 2025
November 1, 2024
1.4 years
August 15, 2023
November 19, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
incidence of delayed gastric emptying
delayed gastric emptying is defined by the presence of either solid food, thick liquids or a specific volume (\>1.5 ml/kg) of clear liquids on gastric ultrasound.
This will be measured pre-operatively in the holding room area.
Secondary Outcomes (2)
Nothing by mouth (NPO) intervals
This will be measured pre-operatively in the holding room area.
Presence of gastric peristalsis
This will be measured pre-operatively in the holding room area.
Study Arms (2)
Control
The control group will be comprised of patients who are not currently taking any GLP-1 agonist medications. Controls will receive the ultrasound exam to assess stomach contents.
GLP-1 agonist intake
The GLP-1 agonist intake group will be comprised of patients who are currently taking any GLP-1 agonist medications. This group will receive the ultrasound exam to assess stomach contents.
Interventions
A gastric ultrasound is a simple, fast, non-invasive bedside diagnostic test that provides a qualitative and quantitative assessment of gastric contents. There are no known risks of a gastric ultrasound exam.
Eligibility Criteria
The study population will be comprised of patients scheduled for surgery at HSS who meet the following inclusion criteria and none of the exclusion criteria.
You may qualify if:
- GLP 1 patient group: any patient on GLP1 agonists that are dosed once per week (semaglutide, dulaglutide, tirzepatide), for all indications.
- Control group (No GLP 1 patients): any patient not on GLP1 agonists that are dosed once per week, for all indications.
You may not qualify if:
- patient refusal to participate
- patients with gastric bypass or any other gastric surgery
- large hiatal hernia
- patients with large ascites
- patients on peritoneal dialysis
- emergency surgery
- pre-existing diagnosis of gastroparesis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (8)
George Washington University Hospital
Washington D.C., District of Columbia, 20037, United States
Mayo Clinic
Jacksonville, Florida, 32224, United States
Albany Medical Center
Albany, New York, 12208, United States
Hospital for Special Surgery
New York, New York, 10021, United States
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Weill Cornell Medicine
New York, New York, 10065, United States
University of Virginia
Charlottesville, Virginia, 22903, United States
University Health Network
Toronto, Ontario, M5G 2C4, Canada
Related Publications (3)
Silveira SQ, da Silva LM, de Campos Vieira Abib A, de Moura DTH, de Moura EGH, Santos LB, Ho AM, Nersessian RSF, Lima FLM, Silva MV, Mizubuti GB. Relationship between perioperative semaglutide use and residual gastric content: A retrospective analysis of patients undergoing elective upper endoscopy. J Clin Anesth. 2023 Aug;87:111091. doi: 10.1016/j.jclinane.2023.111091. Epub 2023 Mar 2.
PMID: 36870274BACKGROUNDMaselli DB, Camilleri M. Effects of GLP-1 and Its Analogs on Gastric Physiology in Diabetes Mellitus and Obesity. Adv Exp Med Biol. 2021;1307:171-192. doi: 10.1007/5584_2020_496.
PMID: 32077010BACKGROUNDNakatani Y, Maeda M, Matsumura M, Shimizu R, Banba N, Aso Y, Yasu T, Harasawa H. Effect of GLP-1 receptor agonist on gastrointestinal tract motility and residue rates as evaluated by capsule endoscopy. Diabetes Metab. 2017 Oct;43(5):430-437. doi: 10.1016/j.diabet.2017.05.009. Epub 2017 Jun 23.
PMID: 28648835BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Oliver Panzer, MD
Hospital for Special Surgery, Department of Anesthesiology
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 15, 2023
First Posted
August 22, 2023
Study Start
August 29, 2023
Primary Completion
January 31, 2025
Study Completion
February 1, 2025
Last Updated
November 26, 2025
Record last verified: 2024-11
Data Sharing
- IPD Sharing
- Will not share