Effect of Glucagon-Like Peptide-1 Receptor Agonists on Bowel Preparation for Colonoscopy: A Systematic Review and Meta-Analysis

Feb 11, 2025The American journal of gastroenterology

Glucagon-like peptide-1 drugs may affect bowel cleaning for colonoscopy: A review and combined analysis

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Abstract

The inadequate bowel preparation rate was 2.10 times higher in patients using glucagon-like peptide-1 receptor agonists compared to controls.

  • GLP-1 receptor agonists are associated with a higher rate of inadequate bowel preparation during colonoscopy.
  • The odds ratio for inadequate bowel preparation in GLP-1RA users is 2.10, indicating a significant increase in risk.
  • Mean Boston Bowel Preparation Scale scores are lower in the GLP-1RA group compared to the control group.
  • The mean difference in Boston Bowel Preparation Scale score is -0.34, suggesting poorer bowel preparation quality with GLP-1RAs.

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