Point-of-Care Gastric Ultrasound to Identify a Full Stomach on a Diabetic Patient Taking a Glucagon-Like Peptide 1 Receptor Agonist
Abstract
Recently, there has been increased interest in the relationship between glucagon-like peptide 1 (GLP-1) receptor agonists, delayed gastric emptying, and subsequent risk of aspiration in the perioperative setting. This case illustrates how gastric ultrasound can be incorporated at the bedside to assess the risk of aspiration in patients taking this type of medication for diabetes or weight loss and guide clinical management and anesthetic technique to reduce the risk of aspiration.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There have been recent case reports of patients taking glucagon-like peptide-1 receptor agonists before surgery having pulmonary aspiration or increased residual gastric contents despite appropriate fasting.
“there have been recent case reports of patients who are taking these drugs before surgery having pulmonary aspiration or increased residual gastric contents despite appropriate fasting [5, 6, 7, 8, 9, 10, 11, 12, 13, 14].”
From Association between glucagon-like peptide-1 receptor agonist use and peri-operative pulmonary aspiration: a systematic review and meta-analysis (2025) · cites this paper as [6]
Cites
Silveira, S. Q., da Silva, L. M., de Campos Vieira Abib, A., de Moura, D. T. H., de Moura, E. G. H., Santos, L. B., Ho, A. M.-H., Nersessian, R. S. F., Lima, F. L. M., Silva, M. V., et al. (2023) · Journal of Clinical Anesthesia · doi:10.1016/j.jclinane.2023.111091 · Cited by 259 · see citing works
Semaglutide, delayed gastric emptying, and intraoperative pulmonary aspiration: a case report
Klein, S. R., & Hobai, I. A. (2023) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-023-02440-3 · Cited by 207 · see citing works
Point-of-care gastric ultrasound and aspiration risk assessment: a narrative review
Perlas, A., Arzola, C., & de Putte, P. B. C. V. (2017) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-017-1031-9 · Cited by 195 · see citing works
Self-citationDiagnostic Accuracy of Point-of-Care Gastric Ultrasound
Kruisselbrink, R., Gharapetian, A., Chaparro, L. E., Ami, N., Richler, D., Chan, V. W. S., & Perlas, A. (2018) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000003372 · Cited by 164 · see citing works
Self-citationGulak, M. A., & Murphy, P. (2023) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-023-02521-3 · Cited by 153 · see citing works
Intra- and Interrater Reliability of Ultrasound Assessment of Gastric Volume
Kruisselbrink, R., Arzola, C., Endersby, R. V. W., Tse, C. C. H., Chan, V. W. S., & Perlas, A. (2014) · Anesthesiology · doi:10.1097/aln.0000000000000193 · Cited by 152 · see citing works
Self-citationFrykholm, P., Disma, N. M., Andersson, H., Beck, C. E., Bouvet, L., Cercueil, É., Elliott, E. J., Hofmann, J. C., Isserman, R. S., Klaucane, A., et al. (2022) · PubMed · doi:10.1097/eja.0000000000001599 · Cited by 102 · see citing works
Anesthesia and glucagon-like peptide-1 receptor agonists: proceed with caution!
Jones, P. M., Hobai, I. A., & Murphy, P. M. (2023) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-023-02550-y · Cited by 85 · see citing works
Wilson, P. R., Bridges, K. H., & Wilson, S. H. (2023) · A&A Practice · doi:10.1213/xaa.0000000000001712 · Cited by 27 · see citing works
Gastric point-of-care ultrasound: a diagnostic tool that is coming of age?
Girón‐Arango, L., & Perlas, A. (2023) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-023-02524-0 · Cited by 3 · see citing works
Self-citation
Flagged first, then by citations
1 of the 11 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Preoperative assessment of adults undergoing elective noncardiac surgery
Lamperti, M., Romero, C. S., Guarracino, F., Cammarota, G., Vetrugno, L., Tufegdzic, B., Chacón-Lozsán, F., Frias, J. J. M., Duma, A., Böck, M., et al. (2024) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000002069 · Cited by 166 · see citing works
Oprea, A. D., Ostapenko, L. J., Sweitzer, B., Selzer, A., Irizarry-Alvarado, J. M., Hurtado Andrade, M. D., Mendez, C. E., Kelley, K. D., Stewart, E., Fernandez Robles, C. R., et al. (2025) · British Journal of Anaesthesia · doi:10.1016/j.bja.2025.04.001 · Cited by 104 · see citing works
Castrillon, J., Rele, S., Sumithran, P., Hii, M., Thuraisingam, S., Spelman, T., Phan, T., Choong, P., Dowsey, M., & Shadbolt, C. (2025) · Anaesthesia · doi:10.1111/anae.16601 · Cited by 65 · see citing works
Chang, M. G., Ripoll, J. G., Lopez, E., Krishnan, K., & Bittner, E. A. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13216336 · Cited by 43 · see citing works
Oprea, A. D., Umpierrez, G. E., Sweitzer, B., & Hepner, D. L. (2024) · Anesthesiology · doi:10.1097/aln.0000000000005204 · Cited by 40 · see citing works
Role of Point-of-Care Gastric Ultrasound in Advancing Perioperative Fasting Guidelines
Razak, A., Baburyan, S., Lee, E., Costa, A., & Bergese, S. D. (2024) · Diagnostics · doi:10.3390/diagnostics14212366 · Cited by 20 · see citing works
Wookey, O., Galligan, A., Wilkie, B. D., MacIsaac, A., & Paratz, E. D. (2025) · Heart Lung and Circulation · doi:10.1016/j.hlc.2024.11.025 · Cited by 12 · see citing works
Lim, E. C. N., & Lim, C. E. D. (2025) · SN Comprehensive Clinical Medicine · doi:10.1007/s42399-025-02079-9 · Cited by 11 · see citing works
Vetrugno, L., Deana, C., Porto, A. D., Boero, E., Bellini, V., Biasucci, D. G., & Bignami, E. G. (2025) · Journal of Anesthesia Analgesia and Critical Care · doi:10.1186/s44158-025-00237-y · Cited by 12 · see citing works
Kalsi, H., Bassi, R., Noureldine, H. A., Essilfie‐Quaye, K., Creamer, C. C., Abuassi, M. A., Meadows, R., Brar, T. S., & Perbtani, Y. B. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14176147 · Cited by 3 · see citing works
Perioperative Considerations for Patients on GLP1 Agonists
VanderWielen, B. A., & Beam, W. B. (2024) · Advances in Anesthesia · doi:10.1016/j.aan.2024.07.002 · Cited by 3 · see citing works
GLP-1 agonists: a new hope for patients, a new challenge for anaesthetists
Doroba, O., Sanfilippo, F., Andruszkiewicz, P., & Zawadka, M. (2025) · Anaesthesiology Intensive Therapy · doi:10.5114/ait/203167 · Cited by 1 · see citing works
Hyung, B., Ye, X. Y., Chandrakumar, M., Lovshin, J. A., & Peacock, S. C. (2026) · Diabetes Obesity and Metabolism · doi:10.1111/dom.70955 · Cited by 1 · see citing works
Gastric ultrasound and mitigating risk of glucagon‐like peptide‐1 receptor agonists: a reply
Kam, P. C. A., Milder, T. Y., & Milder, D. A. (2024) · Anaesthesia · doi:10.1111/anae.16369
Highlights of Point-Of-Care Ultrasound for the Anesthesiologist
Bryant, J., Jelly, C. A., & Sileshi, B. (2025) · Advances in Anesthesia · doi:10.1016/j.aan.2025.07.007
Girón‐Arango, L., & Perlas, A. (2025) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-025-03047-6
Self-citationKataria, S., Livingstone, D., & Arora, V. (2026) · A&A Practice · doi:10.1213/xaa.0000000000002188
da Cunha, M. R., & da Cunha, M. T. R. (2026) · Cureus · doi:10.7759/cureus.116901
MACHADO, L. L., Pironatto, F. L. D. M., Lopes, M. B., & da Silva, R. S. (2026) · Perioperative Anesthesia Reports · doi:10.61724/2965-3681/e00132026
- Authors
- Girón-Arango, L., & Perlas, A.
- Affiliations
- Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada
- University Health Network (CA)
- Corresponding author
- Perlas, Anahi
- ORCID
- Perlas, Anahi
- Venue
- A&A Practice
- Published
- 2024-02
- Volume
- 18
- Issue
- 2
- Pages
- e01751
- ISSN
- 2575-3126 (ISSN-L)
- OpenAlex
- W4391472075
- Cited by
- 19
- References
- 11
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 6
- FWCI
- 10.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- A&A Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
- Keywords
- full stomach, GLP-1 receptor agonists, delayed gastric emptying, aspiration risk, perioperative care, diabetes mellitus, anesthetic techniques, weight loss
- MeSH terms
- Glucagon-Like Peptide-1 Receptor Agonists, Diabetes Mellitus, Type 2, Humans, Hypoglycemic Agents, Stomach, Point-of-Care Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
