Rates of repeat EGD in nondiabetic adults with glucagon-like peptide-1 receptor agonist prescription: a retrospective matched cohort study

Oct 10, 2024Gastrointestinal endoscopy

Repeat upper digestive tract exams in non-diabetic adults prescribed GLP-1 receptor agonists

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Abstract

No significant difference in repeat endoscopy rates was observed between adults taking glucagon-like peptide-1 receptor agonists (GLP-1RAs) and those not taking them.

Repeat endoscopy occurred in 5.4% of GLP-1RA users compared to 4.2% of non-users.
The risk ratio for repeat endoscopy was 1.28, indicating no substantial difference.
New diagnoses of gastroparesis were 1.1% in the GLP-1RA group versus 0.6% in the control group.
The risk ratio for new diagnosis of gastroparesis was 2.00, suggesting no significant increase in risk.

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BACKGROUND AND AIMS: Data on endoscopic outcomes in adults without diabetes who are taking glucagon-like peptide-1 receptor agonists (GLP-1RAs) are limited. Therefore, we compared repeat EGD in this population with those not taking GLP-1RAs using a retrospective matched case-control study.

METHODS: Using the TriNetX health research platform (Cambridge, Mass, USA), we analyzed adults with a body mass index ≥27 kg/mwithout diabetes who underwent diagnostic EGD. The study group included individuals with ≥3 GLP-1RA prescriptions and undergoing EGD ≥30 days after the initial GLP-1RA prescription. The control group included individuals who were never prescribed GLP-1RAs but had an EGD after the prescription of other weight loss medications. Outcomes were compared using the risk ratio (RR) in matched cohorts. 2

RESULTS: No significant difference in repeat EGD (5.4% vs 4.2%; RR, 1.28; 95% confidence interval [CI], .95-1.71) or new diagnosis of gastroparesis (1.1% vs .6%; RR; 2.00; 95% CI, .94-4.27) was noted between the groups.

CONCLUSIONS: GLP-1RAs may not substantially increase the risk of repeat endoscopy in individuals without diabetes.

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Rates of repeat EGD in nondiabetic adults with glucagon-like peptide-1 receptor agonist prescription: a retrospective matched cohort study

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