在EGD和当天结肠镜上,GLP-1受体激活剂增加保留的胃含量可以降低这种风险
Dirin Ukwade1, Luis J Hernandez2, Zeel Modi1
1Department of Medicine, University of Illinois Chicago, Chicago, IL, United States.
Frontiers in medicine
|September 26, 2025
概括
使用类似葡萄糖类1受体激活剂 (GLP-1RA) 的患者在食管胃二透镜 (EGD) 期间患有留住的胃内容的风险更高. 需要进一步的研究来了解与GLP-1RA使用相关的吸收风险.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 药理学 药理学是指药理学的学科.
背景情况:
- 葡萄糖类1受体激活剂 (GLP-1RA) 的使用在2型糖尿病和减肥中越来越多.
- 人们对GLP-1RA对胃排空和吸入风险的影响存在担忧,这些风险在诸如食道胃管透镜 (EGD) 等手术中存在.
研究的目的:
- 调查GLP-1RA使用与常规EGD期间胃内存保留的风险之间的关联.
- 在接受EGD的患者中,识别胃内存保留的预测因子.
主要方法:
- 对1368名接受EGD治疗的成年患者进行了回顾性分析.
- 多变量分析以评估GLP-1RA的使用,作为胃内存的预测指标.
- 包括与延迟胃排空相关的共同变量.
主要成果:
- 与非使用者 (3.8%) 相比,GLP-1RA使用者的胃内含物保留率显著更高 (14.1%).
- GLP-1RA使用,胃衰竭史,慢性病和半与风险增加有关.
- 在这项研究中,没有观察到不良结果的显著增加.
结论:
- 使用GLP-1RA与EGD期间胃内含物保留的风险增加有关.
- 需要进一步的研究来探索缓解因素和潜在的吸收并发症.
相关概念视频
Glucagon-like Receptor Agonists
848
Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
848
Endoscopic Procedures I: Esophagogastroduodenoscopy
916
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
916
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
568
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
568
Gastric Emptying
3.3K
Gastric emptying occurs when the stomach gradually releases chyme into the duodenum. When the stomach is distended, it triggers the release of gastrin, a hormone that promotes gastric acid secretion to aid in digestion. Additionally, stomach distension contributes to peristaltic waves that propel gastric contents toward the pyloric region. The gastroenteric reflex, on the other hand, primarily stimulates peristalsis in the intestines, facilitating the movement of contents further along the...
3.3K
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists
896
Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...
896
Endoscopic Procedures III: Video Capsule Endoscopy
727
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
727


