The Effect of GLP-1 Drugs on the Stomach and Risks for Surgery

What are GLP-1 Drugs?
GLP-1 drugs are medications often used to help people with diabetes or those trying to lose weight. These medications work by controlling blood sugar, slowing down digestion, and helping you feel full longer. Some common GLP-1 drugs include Ozempic, Trulicity, and Wegovy.

What is Gastroparesis?
Gastroparesis means that your stomach empties food more slowly than normal. This can happen when the muscles in the stomach don’t work properly. GLP-1 drugs can cause this to happen because they are designed to slow digestion. For most people, this effect helps with weight loss and blood sugar control.

Why is This a Problem for Surgery?
When you have surgery, doctors want your stomach to be empty. This is because food in the stomach can cause complications like aspiration, which is when food or liquid accidentally gets into your lungs during anesthesia. Aspiration can be dangerous, leading to serious breathing problems or infections like pneumonia.

Since GLP-1 drugs slow down how fast your stomach empties, there is a risk that food may still be in your stomach during surgery, even if you haven’t eaten for several hours. This raises the risk of aspiration and other complications.

What Should You Do Before Surgery?
If you are taking a GLP-1 drug and have surgery scheduled, it’s important to talk to your doctor. Your doctor might tell you to stop taking the medication for a full week before surgery to give your stomach time to empty completely. Always follow your doctor’s instructions and let the surgical team know about any medications you are taking.

In Summary
GLP-1 drugs can be very helpful for managing diabetes and weight loss, but they also slow down your digestion. If you are going to have surgery, make sure to discuss your medications with your doctor to avoid any risks during the procedure. This way, you can help ensure a safe and smooth surgery.