Association Between Semaglutide or Tirzepatide Therapy and Residual Gastric Content: A Potential Danger During Upper Endoscopy

Dec 15, 2025Cureus

Link Between Semaglutide or Tirzepatide Treatment and Remaining Stomach Contents That May Risk Upper Endoscopy

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Abstract

Among 144 patients, 11 taking semaglutide or tirzepatide for over six months had residual gastric content during esophagogastroduodenoscopy.

  • A significant association was found between GLP-1 usage for more than six months and the presence of residual gastric content (p<0.001).
  • Of the 12 patients on long-term GLP-1 therapy, 91.7% exhibited residual gastric content.
  • No residual gastric content was observed in the 132 patients who did not meet the inclusion criteria.
  • A moderate positive association was noted between residual gastric content and age.
  • A weak negative association was identified between residual gastric content and body mass index (BMI).
  • There were no procedure-related complications, and all patients were discharged on the same day.

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