GI Complications With GLP-1s for Weight Loss: Reexamining the Risks

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GI Complications With GLP-1s for Weight Loss: Reexamining the Risks
ObeseDiabetes Mellitus Type 2Diabetes Mellitus Type Ii
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After a 2023 study linked GLP-1s to an increased risk for pancreatitis, gastroparesis, and bowel obstruction, other researchers did a retrospective study to reexamine the association.

WASHINGTON, DC — In contrast with a previous study that found glucagon-like peptide 1 receptor agonists associated with an increased risk for acute pancreatitis and bowel obstruction , a new retrospective study found no significant link to these complications. The new data did, however, reinforce an association between GLP-1s and gastroparesis and biliary disease , specifically gallstones.

Instead, Lui said, he and colleague Gengqing Song, MD,"just made it simple" and excluded anyone with diabetes or an A1c ≥ 6.5. They were identified in the database between 2011 and 2023. Researchers noted their first-ever occurrence of acute pancreatitis, bowel obstruction, gastroparesis, or biliary disease during the study period.. In addition to BMI, propensity score matching included demographics, alcohol use, smoking, hyperlipidemia, and abdominal surgery. A second analysis specifically did not match participants for BMI.

However,"I interpret the results with intestinal obstruction and pancreatitis as more inconclusive than no risk," he added.

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Obese Diabetes Mellitus Type 2 Diabetes Mellitus Type Ii Type 2 Diabetes Type 2 DM T2DM T2D Biliary Disease Gallbladder Disease Abdominal Infection Pancreatitis Body Mass Index BMI Gastroparesis Weight Loss Weight Management Bariatric Surgery Obesity Surgery Weight Loss Surgery Bowel Obstruction Acute Pancreatitis Gallstone Cholelithiasis Clinical Research Clinical Trials

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