Internal Reference Number: FOI_9371
Date Request Received: 28/04/2026 00:00:00
Date Request Replied To: 07/05/2026 00:00:00
This response was sent via: By Email
Request Summary: GLP1s OGDs
Request Category: Health
| Question Number 1: I am writing to request information under the Freedom of Information Act 2000 regarding your Trust鈥檚 guidance and practice relating to the management of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) prior to upper gastrointestinal endoscopy (oesophago-gastro-duodenoscopy, OGD). Clarification This request relates only to adult elective OGD procedures and excludes colonoscopy or other endoscopic procedures unless included within a shared protocol. Information Requested Guidance Availability a) Does your Trust have any guidance, protocol, or policy relating to the management of GLP-1 receptor agonists prior to OGD? b) If yes, please provide: 鈥傗�傗�傗�傗�傗�傗�⑩�傗�傗�傗�傗�侫 copy of the guidance, or 鈥傗�傗�傗�傗�傗�傗�⑩�傗�傗�傗�傗�侫 link to where it is publicly available | |
| Answer To Question 1: Pre-operative Assessment follow the current local hospital policy, to continue GLP-1 receptor agonists. The anaesthetist takes airway/intubation precautions. Ozempic and Wegovy have a half life of 7 days and can be in the patient's system for 5 to 6 weeks. Please see 鈥淧re-operative Medication in Fasted Patients - stopping drugs before surgery鈥�. Please use the following link to locate the Guidelines as follows; https://app.eolasmedical.com/auto-login/EOLAS%23ORG%23staging-salisbury-nhs-foundation-trust%231120b4c7-8856-4520-934a-f2778c95fc7a%23860230f5-00eb-4248-8db4-c71d458f6f81 星空无限 > Hospital Guidelines > Adult Surgery > Preoperative Guidance > Pre-operative Medication in Fasted Patients - stopping drugs before surgery Response from Endoscopy: We don't have any specific policies for GLP-1 RAs. The use of these drugs in Endoscopy has not been discussed, reviewed or audited. | |
| Question Number 2: Medication Management a) What is your Trust鈥檚 recommendation regarding oral GLP-1 receptor agonists prior to OGD? (e.g. continue, omit morning dose, withhold for a defined period) b) What is your Trust鈥檚 recommendation regarding injectable GLP-1 receptor agonists prior to OGD? | |
| Answer To Question 2: N/A 鈥� we do not have a Trust recommendation regarding GLP-1 receptor agonists prior to OGD. | |
| Question Number 3: Indication-Specific Guidance a) Does your Trust differentiate guidance based on indication (e.g. diabetes vs obesity)? b) If yes, please outline how recommendations differ. | |
| Answer To Question 3: N/A 鈥� the Trust does not have guidance for GLP1 RAs for OGD. | |
| Question Number 4: Fasting Protocol a) Does your Trust modify fasting instructions for patients taking GLP-1 receptor agonists prior to OGD? b) If yes, please provide details of the modified fasting protocol. | |
| Answer To Question 4: No, we do not modify fasting instructions for patients taking GLP-1 RA prior to OGD. | |
| Question Number 5: Operational Impact a) Has your Trust identified any impact of GLP-1 receptor agonist use on OGD procedures (e.g. cancellations, retained gastric contents, aspiration risk)? b) If recorded, please provide any available data or summary information. | |
| Answer To Question 5: No, the Trust has not identified any impact of GLP-1 RA use on OGD procedures. | |
| Question Number 6: Governance a) Has the management of GLP-1 receptor agonists in endoscopy been discussed, reviewed, or audited within your Trust? | |
| Answer To Question 6: The use of these drugs in Endoscopy has not been discussed, reviewed or audited. | |
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