Gastric Ultrasound Assessment for Patients Taking Cannabis
Assessment of Preoperative Gastric Content With Ultrasound in Patients Reporting Cannabis Use
1 other identifier
observational
40
1 country
1
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 report cannabis use.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started May 2025
Shorter than P25 for all trials
1 active site
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 20, 2024
CompletedFirst Posted
Study publicly available on registry
August 23, 2024
CompletedStudy Start
First participant enrolled
May 9, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 13, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
October 14, 2025
CompletedDecember 16, 2025
November 1, 2025
5 months
August 20, 2024
December 9, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of delayed gastric emptying
A full stomach on gastric ultrasound 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 (3)
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.
Time interval since last cannabis use
This will be measured pre-operatively in the holding room area.
Study Arms (1)
Cannabis Users
The cannabis user group will be comprised of patients who report preoperative cannabis use within 1 month of surgery date. 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:
- Any patient reporting preoperative cannabis usage within 1 month of surgery date
You may not qualify if:
- Patient refusal to participate
- Patient 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
- Parkinson's disease
- Diabetes
- Currently taking metformin
- Chronic kidney disease stage 3 or higher
- Creatinine ≥ 1.2
- Esophageal surgery
- Currently taking GLP1 agonist medication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital for Special Surgery
New York, New York, 10021, United States
Related Publications (4)
King DD, Stewart SA, Collins-Yoder A, Fleckner T, Price LL. Anesthesia for Patients Who Self-Report Cannabis (Marijuana) Use Before Esophagogastroduodenoscopy: A Retrospective Review. AANA J. 2021 Jun;89(3):205-212.
PMID: 34042571BACKGROUNDCammarano CA, Villaluz JE. A Reason to Rethink Fasting Guidelines? Marijuana-Induced Gastroparesis and the Implications for Aspiration Risk in the Nil Per Os (NPO) Patient: A Case Report. Am J Case Rep. 2021 Nov 29;22:e934187. doi: 10.12659/AJCR.934187.
PMID: 34840324BACKGROUNDMcCallum RW, Soykan I, Sridhar KR, Ricci DA, Lange RC, Plankey MW. Delta-9-tetrahydrocannabinol delays the gastric emptying of solid food in humans: a double-blind, randomized study. Aliment Pharmacol Ther. 1999 Jan;13(1):77-80. doi: 10.1046/j.1365-2036.1999.00441.x.
PMID: 9892882BACKGROUNDEsfandyari T, Camilleri M, Ferber I, Burton D, Baxter K, Zinsmeister AR. Effect of a cannabinoid agonist on gastrointestinal transit and postprandial satiation in healthy human subjects: a randomized, placebo-controlled study. Neurogastroenterol Motil. 2006 Sep;18(9):831-8. doi: 10.1111/j.1365-2982.2006.00834.x.
PMID: 16918762BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Oliver Panzer, MD
Hospital for Special Surgery, New York
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 20, 2024
First Posted
August 23, 2024
Study Start
May 9, 2025
Primary Completion
October 13, 2025
Study Completion
October 14, 2025
Last Updated
December 16, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share